2020 Summer BootCamp
Online Registration & Waiver - General Information

PLEASE COMPLETE ONE REGISTRATION PER INDIVIDUAL.
General Information
First Name *
Last Name *
Address *
City *
State *
Zip *
Primary Phone *
(XXX) XXX-XXXX
Email *
Package Pricing
Session 1 Packages: June 1st - July 3rd (5 Weeks)
- 2 days/week (10 Sessions) — $100 (Early Bird Pricing $90)
- 3 days/week (15 Sessions) —$110 (Early Bird Pricing $100)
- 4 days/week (20 Sessions) —$115 (Early Bird Pricing $105)

Session 2: July 6th - August 7th (5 Weeks)
- 2 days/week (10 Sessions) — $100 (Early Bird Pricing $90)
- 3 days/week (15 Sessions) —$110 (Early Bird Pricing $100)
- 4 days/week (20 Sessions) —$115 (Early Bird Pricing $105)

​***Early Bird Pricing (Register & Pay before 5/24/20)***

Registration must be completed and Payment received before 11:59 PM on 5/24/20 for early bird pricing to apply. The discount can be applied to each session you purchase (e.g., if you Register + Pay for the Session 1 package AND a Session 2 package before 5/24/20, your total discount would be $20). 
Select your Session!
Make your selection below. *
2 days/wk
3 days/wk
4 days/wk
N/A
Sess. 1 (6/1-7/3)
Sess. 2 (7/6-8/7)
Emergency Contact Information
Emergency Contact Name *
Emergency Contact Phone *
(XXX) XXX-XXXX
Emergency Contact Relationship *
Health History
Please rate your physical condition
(with 10 being the best)
Clear selection
Age
Please indicate any injuries, medications, or other pertinent health information that may affect your ability to participate.
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