CAMP REGISTRATION | FusionYouthOutreach

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Summer Camp

Registration Form

Camp Dates/Times

CAMP WILL CONSIST OF 2 SESSIONS. FAMILIES WILL RECEIVE A DISCOUNT WHEN PAYING FOR BOTH SESSIONS.
Session 1 (June 3-28th) 9am-3pm; Session 2 (July 1-26th)

Parent/Guardian's First Name

Parent/Guardian's Last Name

Email

Work/Day Phone Number

Camper 1 First/Last Name

Camper 1 Birthday

Camper 2 First/Last Name

Camper 2 Birthday

Camper 3 First/Last Name

Camper 3 Birthday

Camper 4 First/Last Name

Camper 4 Birthday

Attendance Rates

5 Days per week

3 Days per week

Camper 1 Fusion Shirt

Camper 2 Fusion Shirt

Camper 3 Fusion Shirt

Camper 4 Fusion Shirt

Registration Fee *

Registration For One - $30.00

(1) Registration + Youth Shirt - $42.00

(1) Registration + Adult Shirt (S-XL) - $44.00

(1) Registration + Adult Shirt (XXL) - $48.00

Registration for Two - $60.00

(2) Registration + (2) Yth Shirts - $84.00

(2) Registration + (2) Ad Shirts - $88.00

(2) Registration + (2) Ad (XXl) Shirt - $92.00

Registration For Three - $90.00

(3) Registration + (3) Yth Shirts - $126.00

(3) Registration + (3) Ad Shirts - $132.00

(3) Registration + (3) Ad (XXL) Shirt - $138.00

Registration For Four - $120.00

(4) Registration + (4) Yth Shirts - $168.00

(4) Registration + (4) Ad Shirts - $176.00

(4) Registration + 4 Ad (XXL) Shirts - $184.00

Emergency Contact Name & Number

Please List Any Allergies (including food allergies)

Any other medical, physical, and/or behavioral concerns

I hereby release Victorious Life Family Worship Center and any other representatives of Camp Fusion from any and all liabilities in case of accident or injury.View terms of use

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