Summer Camp Registration

2024 Summer Camp Registration Form
(9 - 12 or 9 - 3)

Student's Name*

First Last

Age*

Please enter a number from 5 to 15.

Players age 5 - 6 may only register for Morning Programs

Parent Information

Parent's Name*

First Last

Address*

Street Address City State ZIP Code

Parent's Email Address*

Enter Email Confirm Email

Home Phone*

Parents's Mobile Phone

Parent's Office Phone

I am a Great Falls Swim & Tennis Member*

Yes
No

Multi-Week Discount Packages

Individual Weeks

Week 1n: June 10 - 13 [Mbr]

There are no options available for this field.

WEEK 1 IS NOW CLOSED

Week 1n: June 10 - 13 [NMbr]

There are no options available for this field.

WEEK 1 IS NOW CLOSED

Week 2n: June 17 - 20 [Mbr]

There are no options available for this field.

WEEK 2 IS NOW CLOSED

Week 2n: June 17 - 20 [NMbr]

There are no options available for this field.

WEEK 2 IS NOW CLOSED

Week 3n: June 24 - 27 [Mbr]

There are no options available for this field.

WEEK 3 IS NOW CLOSED

Week 3n: June 24- 27 [NMbr]

There are no options available for this field.

WEEK 3 IS NOW CLOSED

Week 4n: July 1 - 5 [Mbr] (no 4th)

Nothing/Clear

WEEK 4 is NOW CLOSED

Week 4n: July 1 - 3 [NMbr] (no 4th)

Nothing/Clear

WEEK 4 is NOW CLOSED

Week 5n: July 8 - 11 [Mbr]

Nothing/Clear

WEEK 5 is NOW CLOSED

Week 5n: July 8 - 11 [NMbr]

Nothing/Clear

WEEK 5 is NOW CLOSED

Week 6n: July 15 - 18 [Mbr]

There are no options available for this field.

WEEK 6 IS NOW CLOSED

Week 6n: July 15 - 18 [NMbr]

There are no options available for this field.

WEEK 6 IS NOW CLOSED

Week 7n: July 22 - 25 [Mbr]

Nothing/Clear

WEEK 7 is NOW CLOSED

Week 7n: July 22 - 25 [NMbr]

Nothing/Clear

WEEK 7 is NOW CLOSED

Week 8n: July 29 - Aug 1 [Mbr]

Nothing/Clear

WEEK 8 is NOW CLOSED

Week 8n: July 29 - Aug 1 [NMbr]

Nothing/Clear

WEEK 8 is NOW CLOSED

Week 9n: Aug 5 - 8 [Mbr]

There are no options available for this field.

WEEK 9 IS NOW CLOSED

Week 9n: Aug 5 - 8 [NMbr]

There are no options available for this field.

WEEK 9 IS NOW CLOSED

Week 10n: Aug 12 - 15 [Mbr]

Nothing/Clear

WEEK 10 is NOW CLOSED

Week 10n: Aug 12 - 15 [NMbr]

Nothing/Clear

WEEK 10 is NOW CLOSED

Total Fees

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Season

Summer: June 10th - August 12th 2024

Medical Authorization & Release

Camper Name*

First Last

Camper Condition*

By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first camp session.

Date of Medical Authorization*

By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.

Date of Parent Release*

By dating above, I agree to hold the Pass Academy and Great Falls Swim & Tennis Club harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.

Cancellation Policy*

By checking this box I accept the following policy. All refunds are subject to fee charges of 6%.

Permission for Photo Use*

Yes
No

I give permission for photos of my child participating in Pass Academy programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.

Additional Information (optional)