SUMMER CAMP PRE-REGISTRATION

PLEASE NOTE!! REGISTRATION IS CLOSED FOR THE JUNE 22ND CAMP FOR AGES 7 & 8. PLEASE DO NOT SIGN UP FOR THE JUNE 22ND CAMP IF YOUR CHILD IS AGE 7 OR 8. THANKS!

REGISTRATION IS STILL OPEN FOR ALL OTHER CAMPS AND AGE GROUPS.

PRE-REGISTER ONLINE BY COMPLETING THE FORM BELOW. PAYMENT CAN BE MAILED TO THE ADDRESS BELOW. CAMP COSTS $125 PER WEEK PER PERSON. WE HAVE REDUCED OUR CAMP PRICE FROM $185 TO $125 SO THERE ARE NO SIBLING DISCOUNTS.

PLEASE BE SURE TO SELECT THE CAMP YOU ARE SIGNING UP FOR AT THE END OF THIS FORM.

PAPER REGISTRATIONS AND PAYMENTS CAN BE MAILED TO:

SPACE COAST YOUTH MULTI-SPORTS (SCYMS)

P.O. BOX 33661

INDIALANTIC, FLORIDA 32903

CLICK HERE TO PRINT A REGISTRATION FORM

FULL NAME

DATE OF BIRTH

AGE

ADDRESS

CITY

STATE

ZIP CODE

PARENT'S EMAIL ADDRESS

FATHER'S NAME

FATHER'S CONTACT INFO

MOTHER'S NAME

MOTHER'S CONTACT INFO

EMERGENCY CONTACT PERSON

EMERGENCY CONTACT INFO

NAME OF DOCTOR

NAME OF PREFERRED HOSPITAL

ALLERGIES?

IF YES, PLEASE EXPLAIN

PHYSICAL LIMITATIONS

IF YES, PLEASE EXPLAIN

SWIMMING ABILITY?

SIGNED MEDICAL RELEASE/WAIVER?

WHICH CAMP DATES ARE YOU INTERESTED IN

HOW DID YOU HEAR ABOUT SPACE COAST YOUTH MULTI-SPORTS

ARE YOU INTERESTED IN THE RECREATIONAL CAMP OR COMPETITIVE CAMP

THANK YOU FOR VISITING OUR SITE

SUMMER CAMP REGISTRATION