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Jupiter Spring Break Camp Registration
Jupiter Spring Break Camp Registration
radon915
2018-02-08T22:34:04-05:00
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 $5 each day
Choose your individual days
for Spring Break Camp (please check)
Day 1 - Monday, March 19, 2018
Day 2 - Tuesday, March 20, 2018
Day 3 - Wednesday, March 21, 2018
Day 4 - Thursday, March 22, 2018
Day 5 - Friday, March 23, 2018
Add Early Arrival or Late Stay option
for each day selected (please check)
Add Early Arrival
Add Late Stay
Number of Children
being registered (1-3):
1
2
3
Child 1 Name:
Gender:
Select One
Male
Female
Date of Birth:
Age:
Fee ($):
Child 2 Name:
Gender:
Select One
Male
Female
Date of Birth:
Age:
Fee ($):
Child 3 Name:
Gender:
Select One
Male
Female
Date of Birth:
Age:
Fee ($):
Total Tuition ($):
Parent's/Guardian's First Name:
Parent's/Guardian's Last Name:
Street Address:
City:
State:
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ZIP Code:
Phone
(Home)
:
Phone
(Work)
:
Phone
(Cell)
:
Email:
How did you hear about us?
Select One
Bring A Friend Card
Repeat Customer
From a Friend
School Flyer
Other Publication
Roadside Sign
Look Local
Google Search
Camp Channel
Macaroni Kid
PTA Sponsored Event
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.
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