EmailMeForm
Summer Camp 2019 -Appleton WI - Monkey Joe's
How Did you hear about ALM Sports Summer Camp 2019?
*
Please select
My Child is a Previous Camper
A Friend Told Me
Flyer from the Camp / School
Facebook
Instagram
Looked up on Google
Other
PARENTS INFORMATION
Mothers Name
*
Fathers Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Cell Phone Number #1
*
###
-
###
-
####
Cell Phone Number #2
###
-
###
-
####
Email #1
*
Email #2
Are you a School Teacher?
Yes, I am a teacher
No, I am not a Teacher
If so, What School do you teach in?
Do you own your own business?
Yes, I own a Business
No, I do not own a business
Local Business Netwoking Opportunity
How many Children are you signing up?
*
Only One Child at the Appleton WI - Monkey Joe's ($50 reg. + First week $125)
Yes, Registration for Two Children at the Appleton WI - Monkey Joe's ($100 reg. + First week $240)
Yes, Registration for Three Children at the Appleton WI - Monkey Joe's ($100 reg. + First week $355)
First payment will include: Registration Fee ($50) per child + the first week selected below
The FIRST week attending Camp?
*
Please select
Week 1: Monday June 10th - Friday June 14th
Week 2: Monday June 17th - Friday June 21st
Week 3: Monday June 24th - Friday June 28th
Week 4: Monday July 1st - Friday July 5th*
Week 5: Monday July 8th - Friday July 12th
Week 6: Monday July 15th - Friday July 19th
Week 7: Monday July 22nd - Friday July 26th
Week 8: Monday July 29th - Friday Aug 2nd
Week 9: Monday August 5th - Friday Aug 9th
Week 10: Monday Aug 12th -Friday Aug 16th
Week 11: Monday Aug 19th - Friday Aug 23rd
Week 12: Monday Aug 26th -Friday Aug 306th
Please list the people that will collect your child at the end of the day.
(Name / Phone number / Relation to your child)
PLEASE NOTE: the above listed people will need to provide ID
CHILD #1 INFORMATION
#1: Child's Full Name
*
#1: Date of Birth
*
#1: School Name
#1: Grade
*
The Grade Going Into
CHILD #2 INFORMATION
#2: Child's Full Name
#2: Date of Birth
#2: School Name
#2: Grade
The Grade Going Into
CHILD #3 INFORMATION
#3: Child's Full Name
#3: Date of Birth
#3: School Name
#3: Grade
The Grade Going Into
INSURANCE
Do you need ALM Sports Insurance?
ALM Insurance cost $10 per week
*
Yes, ALM Sports Insurance
No additional Insurance needed (ill use my Primary Insurance)
Will cover one week, per family of 3
Primary Insurance Details
(your childs insurance carrier and policy number)
Medical Concerns
Food Allergies
Name the Person Who Referred you?
or the name on the flyer you received
Refer a friend
Are you able to provide a referral information?
*
Please select
I have NO Referrals
I will list only One Referral
I will list Two Referrals
receive $5 discount off your Registration Fee, if you refer two family members, Friends or co-workers
#R1: Name
First
Last
#R1: Phone
###
-
###
-
####
#R1: Email
#R2: Name
First
Last
#R2: Phone
###
-
###
-
####
#R2: Email
Monthly Discounts
Monthly Discounts
Please select
January & February 2019 ($50 off Registration)
March 2019 ($30 off Registration)
April 2018 ($20 off Registration)
ADDITIONAL SUPPLIES - Optional
#1: ALM Educational Booklet to take home
ALM Provides individual work sheets from these booklets everyday at camp; but you want to purchase a full booklet of your Childs grade to take home - you can here.
Buy Now for only $8.
or $10, If you decide to purchase at camp.
Do you want to purchase the additional take home educational workbook?
*
Yes, purchase workbook now
No, not buying workbook
#2: EXTRA: Camp Shirt
*you will only receive your specific camp color
Please Note: Your Child will receive a Free Camp Shirt on the first day of Camp.
Incase you wanted an additional shirt and/or if you lose or damage your shirt.
Buy Now for only $8.
Or $10, if you decide to purchase at Camp.
Do you want to purchase another Camp Shirt?
*
Yes, Purchase another Camp Shirt Now
No, not buying another camp shirt
#3: EXTRA: drawstring bag
Please Note: Your Child will receive a Free drawstring bag on the first day of Camp.
In case you wanted an additional bag and/or if you lose your bag.
Only $5, if you purchase now;
or $8 if you decide to purchase at camp.
Do you want to purchase another drawstring bag?
*
Yes, Purchase another bag now
No, not buying another bag
#4: EXTRA: Water bottle
Please Note: Your Child will receive a Free Water Bottle on the first day of Camp.
In case you wanted an additional bottle and/or if you lose your bottle.
$4 if you purchase now.
Or $7, if you decide to purchase at Camp
Do you want to purchase another Water Bottle?
*
Yes, Purchase another water bottle now
No, not buying another water bottle
TERMS & CONDITIONS
I have read and agree to the Terms of Service
*
Yes, I agree.
If your child is covered by a private insurance, you must provide us with proof of your child’s insurance coverage. If your child is not We offer this through WestPoint Insurers at a cost of $10.00 for up to 5 days during the Summer camp. I give consent for my child to take part in the activity and consent to emergency treatment as necessary. I accept that the organizers and their employees are not under any liability whatsoever in respect of injury, loss or damage whilst on the course, other than imposed by law. I also allow ALM Sports to take photos for advertising and promoting purposes only; if you do not want your childs photo to be taken please email admin@almsports.com. I confirm that my personal insurance is correct and bears responsibility in case of accidents. I confirm that I am legally entitled to give this consent and understand all payments received are non-refundable.
I agree and understand that all payments are non-refundable
*
Yes, I agree.
Total
$0.00