2018 Spring Break Camp Registration

at Independence Middle School
Jupiter, Florida
Use the form below to pay on-line by credit or debit card. Choose by week or day. Items in BOLD are required
WEEKLY Spring Break Camp FEES
  • $175 per week 9am to 4pm if registered on-line after March 1
  • Optional Early Arrival 8:00 to 9:00am. Add $25 each week
  • Optional Late Stay 4:00 to 5:30pm. Add $25 each week
Choose your weeks for Spring Break Camp (please check)
Week 1 - March 19-23, 2018
Add Early Arrival
Add Late Stay
DAILY Spring Break Camp FEES
  • $40 per day 9am to 4pm if registered on-line
  • Optional Early Arrival 8:00 to 9:00am. Add $5 each day
  • Optional Late Stay 4:00 to 5:30pm. Add $5 each day
Choose your individual days for Spring Break Camp (please check)
Day 1 - Monday, March 19, 2018
Day 2 - Tuesday, March 20, 2018
Day 3 - Wednesday, March 21, 2018
Day 4 - Thursday, March 22, 2018
Day 5 - Friday, March 23, 2018
Add Early Arrival or Late Stay option for each day selected (please check)
Add Early Arrival   
Add Late Stay   
Number of Children
being registered (1-3):

Child 1 Name:
Gender:
Date of Birth:
Age:
Fee ($):
Total Tuition ($):
Parent's/Guardian's First Name:
Parent's/Guardian's Last Name:
Street Address:
City:
State:
ZIP Code:
Phone (Home):
Phone (Work):
Phone (Cell):
Email:
How did you hear about us?
New contact info from previous registration?
Yes
I agree to allow SPORTSTYME to charge my credit card for the amount shown above.

I have read and agree to SPORTSTYME'S TERMS AND CONDITIONS (view here).
All weeks / days you plan to attend must be pre-paid to secure your child's spot. Once you have registered your child you will be required to make your payment on-line (secure transaction).

Click "Submit" to continue with payment information.