Alameda Ping Pong Gym Kids Summer Camp Registration
Please fill out a form for each separate participant.
Payment to coach Johnny Tat through Venmo (@johnnyt2050) or Zelle (1-510-909-3558) as well as completing this form will finalize registration and reserve your spot.
Sign in to Google
to save your progress.
First Name of the Participant
Last Name of the Participant
Phone Number of the Participant (if applicable)
Which week of summer camp will the participant be attending?
6/13-6/17 half day AM
6/13-6/17 half day PM
6/13-6/17 full day
6/20-6/24 half day AM
6/20-6/24 half day PM
6/20-6/24 full day
7/11-7/15 half day AM
7/11-7/15 half day PM
7/11-7/15 full day
7/18-7/22 half day AM
7/18-7/22 half day PM
7/18-7/22 full day
Have you paid Johnny Tat by Venmo (@johnnyt2050) or Zelle (1-510-909-3558) (both paying and completing this form will reserve and guarantee your spot) ($60/half day, $200/wk for half day, $80/full day, $300/wk for full day)
Yes, I paid through Zelle
Yes, I paid through Venmo
First Name of Guardian/Emergency Contact
Last Name of Guardian/Emergency Contact
Phone Number of Guardian/Emergency Contact
Are there any needs, accommodations, or information about the participant that would be useful to take into consideration?
By submitting this form and clicking "I agree" below, you hereby agree to waive any injures, claims, and/or liabilities of the participant while attending summer camp and at the ping pong facility.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service