STRONG WINGS SUMMER CAMPS
2008 REGISTRATION
Please fill in all fields. After printing, please sign where indicated and return with deposit and medical forms.
PLEASE READ THE REGISTRATION & CAMP POLICIES
Child's Name
Age
In case of emergency I/we can be contacted at one of these numbers:
#1 #2 #3
Please note that all students must supply a certificate of immunization. Please include with completed registration form.
Students will not be enrolled until these records have been received.
I hereby give my consent for my child to participate in Strong Wings Summer Camps 2008 and further give my authorization to the Staff of Strong Wings, Inc. to arrange for routine or emergency medical care and treatment necessary to preserve the health of my child. I acknowledge that I am responsible for all reasonable charges in connection with care and treatment rendered and agree not to hold Strong Wings, Inc. or any member of their staff responsible in the unlikely event of an accident. I have read all camp and registration policies, understand them, and agree to adhere to them. Signed _______________________________________ Dated _________________
Strong Wings may use my child's unidentified photo in their brochures and literature, including their website. yes no
CHECK ALL THAT APPLY
Please specify camp and week(s) of enrollment:
wk1 wk2 wk3 wk4 wk5 wk6 wk7 wk8 wk9
Members receive significant discounts on programs and events throughout the year. Memberships are annual and run from September 1 thru August 31.
Method of Payment: Check Visa MasterCard
Amount Enclosed (Thank You)
Credit Card # Exp Date
Signature________________________________________ Date________________
CAMP RATES AND SCHEDULE
Mail or Fax to: Strong Wings . PO Box 2884 . Nantucket . MA . 02584 (508) 228-6348
© Strong Wings 2000-2008