WTC Thanksgiving Camp 2019

Camper Name*

Gender*

Male
Female

Date of Birth*

Parent Name*

Parent Email*

Primary Phone Number*

Address*

Emergency Contact Name During Camp Hours*

Emergency Contact Phone Number*

Are there any medical issues we should be aware of?*

Yes
No

Have you been to one of our camps before?*

Yes
No

How Did You Hear About Our Camp?*

Google or other search engines
Facebook
Email
Yelp
Friend or Family Referral
Club Advertisement (flyer, poster etc)
Activity Hero
www.cliffdrysdale.com
Club website
Other

Are you a WTC member?*

Yes
No

Choose Your Camp Session Dates*

Tuesday, November 26 - Full Day
Price $60.00
Attend This Session
Tuesday, November 26 - Half Day
Price $45.00
Attend This Session
Wednesday, November 27 - Full Day
Price $60.00
Attend This Session
Wednesday, November 27 - Half Day
Price $45.00
Attend This Session
Friday, November 29 - Full Day
Price $60.00
Attend This Session
Friday, November 29 - Half Day
Price $45.00
Attend This Session

Convenience Fee

$1.00

Running Total

$1.00

Coupon Code

Total

$1.00

Terms and Conditions*

Liability Disclaimer: In consideration of Cliff Drysdale Management, Allowing my child's/children's participation in the camp, I for myself and my child/Children release Cliff Drysdale Management and its partners and affiliated officers, directors, agents and employees from and waive all claims, damages, and liabilities what soever for property damage or loss, personal injury or death arising from or in connection with my child's/children's participation in the camp. Cliff Drysdale Management retains all rights to any video and photographs taken at the camp to be used for publicity or advertising.

I, the undersigned, agree to the terms above.

Billing Information

Name*

Credit Card*

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American Express
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Address*

Email*

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