EmailMeForm
PSN - Spring Break Camp 2024
March 25-29 2024
PARENTS INFORMATION
Mothers Name
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Fathers Name
*
Cell Phone Number #1
*
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Cell Phone Number #2
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Email #1
*
Email #2
CAMPER(S)
How Many Children are you Registering?
*
Please select
Only One Child
Two Children
Three Children
CHILD #1 INFORMATION
#1: Child's Full Name
*
#1: Date of Birth
*
#1: Will your Child participate in only the ALM Camp, Specialized Sports Training or Both
*
Please select
Only ALM Camp
Only Specialized Sports
Both ALM Camp & Specialized Sports
#1: What Specialized Sport will your Child Play?
CHILD #2 INFORMATION
#2: Child's Full Name
#2: Date of Birth
#2: Will your Second Child participate in only the ALM Camp, Specialized Sports Training or Both
Please select
Only ALM Camp
Only Specialized Sports
Both ALM Camp & Specialized Sports
#2: if applicable: What Specialized Sport will your Second Child Play?
CHILD #3 INFORMATION
#3: Child's Full Name
#3: Date of Birth
#3: Will your Third Child participate in only the ALM Camp, Specialized Sports Training or Both
Please select
Only ALM Camp
Only Specialized Sports
Both ALM Camp & Specialized Sports
#3: if applicable: What Specialized Sport will your Third Child Play?
PROGRAM & PAYMENTS
What ALM Camp Days will your First Child be Participating in?
1 Child: ALM Camp & Specialized Sports - All 7 days (7:30am-6pm) ($190)
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1 Child: ALM Camp Only 5 Days (7:30am-6pm) ($120)
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1 Child: Specialized Sports Only 5 days (10am-3pm) ($120)
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-- Check the Daily Rates Below --
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1 Child: Monday March 25th - Only ALM Camp (7:30am-6pm) ($30)
1 Child: Monday March 25th - Only Specialized Sports (10am-3pm) ($30)
1 Child: Monday March 25th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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1 Child: Tuesday March 26th - Only ALM Camp (7:30am-6pm) ($30)
1 Child: Tuesday March 26th - Only Specialized Sports (10am-3pm) ($30)
1 Child: Tuesday March 26th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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1 Child: Wednesday March 27th - Only ALM Camp (7:30am-6pm) ($30)
1 Child: Wednesday March 27th -Only Specialized Sports (10am-3pm) ($30)
1 Child: Wednesday March 27th -Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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1 Child: Thursday March 28th - Only ALM Camp (7:30am-6pm) ($30)
1 Child: Thursday March 28th - Only Specialized Sports (10am-3pm) ($30)
1 Child: Thursday March 28th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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1 Child: Friday March 29th - Only ALM Camp (7:30am-6pm) ($30)
1 Child: Friday March 29th - Only Specialized Sports (10am-3pm) ($30)
1 Child: Friday March 29th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
#1: You Save: $80 if you choose 7 days for ALM Camps & Specialized Sports
#2: For the Daily Rates you can combine both ALM Only & Specialized Sports for the Full day (7:30am-6:00pm)
What ALM Camp Days will your Second Child be Participating in?
2nd Child: ALM Camp & Specialized Sports - All 7 days (7:30am-6pm) ($180)
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2nd Child: ALM Camp Only 5 Days (7:30am-6pm) ($110)
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2nd Child: Specialized Sports Only 5 days (10am-3pm) ($110)
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-- Check the Daily Rates Below --
--
2nd Child: Monday March 25th - Only ALM Camp (7:30am-6pm) ($30)
2nd Child: Monday March 25th - Only Specialized Sports (10am-3pm) ($30)
2nd Child: Monday March 25th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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2nd Child: Tuesday March 26th - Only ALM Camp (7:30am-6pm) ($30)
2nd Child: Tuesday March 26th - Only Specialized Sports (10am-3pm) ($30)
2nd Child: Tuesday March 26th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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2nd Child: Wednesday March 27th - Only ALM Camp (7:30am-6pm) ($30)
2nd Child: Wednesday March 27th -Only Specialized Sports (10am-3pm) ($30)
2nd Child: Wednesday March 27th -Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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2nd Child: Thursday March 28th - Only ALM Camp (7:30am-6pm) ($30)
2nd Child: Thursday March 28th - Only Specialized Sports (10am-3pm) ($30)
2nd Child: Thursday March 28th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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2nd Child: Friday March 29th - Only ALM Camp (7:30am-6pm) ($30)
2nd Child: Friday March 29th - Only Specialized Sports (10am-3pm) ($30)
2nd Child: Friday March 29th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
#1: You Save: $80 if you choose 7 days for ALM Camps & Specialized Sports
#2: For the Daily Rates you can combine both ALM Only & Specialized Sports for the Full day (7:30am-6:00pm)
What ALM Camp Days will your Third Child be Participating in?
3rd Child: ALM Camp & Specialized Sports - All 7 days (7:30am-6pm) ($180)
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3rd Child: ALM Camp Only 5 Days (7:30am-6pm) ($110)
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3rd Child: Specialized Sports Only 5 days (10am-3pm) ($110)
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-- Check the Daily Rates Below --
--
3rd Child: Monday March 25th - Only ALM Camp (7:30am-6pm) ($30)
3rd Child: Monday March 25th - Only Specialized Sports (10am-3pm) ($30)
3rd Child: Monday March 25th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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3rd Child: Tuesday March 26th - Only ALM Camp (7:30am-6pm) ($30)
3rd Child: Tuesday March 26th - Only Specialized Sports (10am-3pm) ($30)
3rd Child: Tuesday March 26th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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3rd Child: Wednesday March 27th - Only ALM Camp (7:30am-6pm) ($30)
3rd Child: Wednesday March 27th -Only Specialized Sports (10am-3pm) ($30)
3rd Child: Wednesday March 27th -Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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3rd Child: Thursday March 28th - Only ALM Camp (7:30am-6pm) ($30)
3rd Child: Thursday March 28th - Only Specialized Sports (10am-3pm) ($30)
3rd Child: Thursday March 28th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
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3rd Child: Friday March 29th - Only ALM Camp (7:30am-6pm) ($30)
3rd Child: Friday March 29th - Only Specialized Sports (10am-3pm) ($30)
3rd Child: Friday March 29th - Combined ALM Camp & Specialized Sports (7:30am-6pm) ($45)
#1: You Save: $80 if you choose 5 days for ALM Camps & Specialized Sports
#2: For the Daily Rates you can combine both ALM Only & Specialized Sports for the Full day (7:30am-6:00pm)
INSURANCE
Does your Family need our Insurance?
*
Please select
No - I have our own Insurance ($0)
Yes - I will need ALM Insurance as a Primary ($10)
$0 if you have your insurance as a Primary
$10 for the 5 days for our partnered ALM Insurance as a primary at PSN Park
Primary Insurance Details
(your childs insurance carrier and policy number)
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
Medical Concerns
Food Allergies
REFERRALS
How did you hear about this Camp?
Be sure to let Others know about the Camp
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 our Partners ALM Sports Insurers at a cost of $10.00 for up to 5 days during the Winter Break 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 to take photos for advertising and promoting purposes only; if you do not want your child's photo to be taken please email almsportsteam@gmail.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
$2.50
