Summer Camp Registration

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Info for Summer Program

2023 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
Package Options [Non Member]
- 3 Weeks of Morning Half Day Camp (9 - 12) $630 [Non-Member]
- 3 Weeks of Full Day Camp (9 - 3) $1260 [Non-Member]
- Nothing/Clear
Package Options [Member]
- 3 Weeks of Morning Half Day Camp (9 - 12) $540 [Member]
- 3 Weeks of Full Day Camp (9 - 3) $1080 [Member]
- Nothing/Clear
Select Desired Package Weeks (3 or 7)
- Week 1p: June 12 - 15
- Week 4p: July 5 - 6
Additional weeks can be purchased at the discounted rate via emailing admin@passacademygfst.com
Individual Weeks
Week 1n: June 12 - 15 [Mbr]
- Morning Camp (Wk1) $200 [MEMBER]
- Full Day Camp (Wk1) $390 [MEMBER]
- Nothing/Clear
Week 1n: June 12 - 15 [NMbr]
- Morning Camp (Wk1) $230 [NON-MEMBER]
- Full Day Camp (Wk1) $450 [NON-MEMBER]
- Nothing/Clear
Week 2n: June 19 - 22 [Mbr]
There are no options available for this field.
Week 2n: June 19 - 22 [NMbr]
There are no options available for this field.
Week 3n: June 26 - 29 [Mbr]
There are no options available for this field.
Week 3n: June 26 - 29 [NMbr]
There are no options available for this field.
Week 4n: July 5 - 6 [Mbr] (2 days)
- Morning Camp (Wk4) $110 [MEMBER]
- Full Day Camp (Wk4) $200 [MEMBER]
- Nothing/Clear
Week 4n: July 5 - 6 [NMbr] (2 days)
- Morning Camp (Wk4) $120 [NON-MEMBER]
- Full Day Camp (Wk4) $230 [NON-MEMBER]
- Nothing/Clear
Week 5n: July 10 - 13 [Mbr]
There are no options available for this field.
Week 5n: July 10 - 13 [NMbr]
There are no options available for this field.
Week 6n: July 17 - 20 [Mbr]
There are no options available for this field.
Week 6n: July 17 - 20 [NMbr]
There are no options available for this field.
Week 7n: July 24 - 27 [Mbr]
- Morning Camp (Wk7) $200 [MEMBER]
- Full Day Camp (Wk7) $390 [MEMBER]
- Nothing/Clear
Week 7n: July 24 - 27 [NMbr]
- Morning Camp (Wk7) $230 [NON-MEMBER]
- Full Day Camp (Wk7) $450 [NON-MEMBER]
- Nothing/Clear
Week 8n: July 31 - Aug 3 [Mbr]
There are no options available for this field.
Week 8n: July 31 - Aug 3 [NMbr]
There are no options available for this field.
Week 9n: Aug 7 - 10 [Mbr]
There are no options available for this field.
Week 9n: Aug 7 - 10 [NMbr]
There are no options available for this field.
Week 10n: Aug 14 - 17 [Mbr]
There are no options available for this field.
Week 10n: Aug 14 - 17 [NMbr]
There are no options available for this field.
Total Fees
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Season
- Summer: June 12th - August 17th 2023
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*
MM slash DD slash YYYY

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*
MM slash DD slash YYYY

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)

Summer Camp Registration

2023 Summer Camp Registration Form(9 - 12 or 9 - 3)

Parent Information

Multi-Week Discount Packages

Individual Weeks

Medical Authorization & Release

2023 Summer Camp Registration Form
(9 - 12 or 9 - 3)