Hank Haney - Junior Camp Sign Up

Please print and complete this form to sign up for any of the Day Camps. Fax or mail the completed form to the location your child will be attending Camp.

DUE TO LIMITED SPACE, FULL PAYMENT IS REQUIRED TO CONFIRM YOUR SPOT IN A CAMP.

Child's Name:
____________________________________________________

Gender:
____________________________________________________

Age:
____________________________________________________

Telephone:
____________________________________________________

E-Mail Address:
____________________________________________________

Enrollment Dates (1st Camp):
____________________________________________________

Location:
____________________________________________________

Enrollment Dates (2nd Camp):
____________________________________________________

Location:
____________________________________________________

Signature of Parent/Guardian

____________________________________________________

Date

____________________________________________________

Print and complete this form, the release and enclose them in an envelope along with a check made payable to the facility which your child is enrolling. Mail or fax to the facility.

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