EmailMe Form - Winter Break Camp- Margate 2023/2024

PARENTS INFORMATION
Mothers Name *
Fathers Name
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Cell Phone Number #1 *
### - ### - ####
Cell Phone Number #2
### - ### - ####
Email #1 *
Email #2
How many Children are you registering? *
CHILD #1 INFORMATION
#1: Child's Full Name *
Date of Birth *
School Name
Grade *
1st child: Which day will your child be attending:
Child 1: All 7 Days ($180)
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1st child: Wed Dec 27th ($35)
1st child: Thurs Dec 28th ($35)
1st child: Fri Dec 29th ($35)
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1st Child: Tues Jan 2nd ($35)
1st Child: Wed Jan 3rd ($35)
1st Child: Thurs Jan 4th ($35)
1st Child: Fri Jan 5th ($35)
CHILD #2 INFORMATION
#2: Child's Full Name
Date of Birth
School Name
Grade
2nd child: Which day will your Second child be attending:
Child 2: All 7 Days ($170)
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2nd child: Wed Dec 27th ($30)
2nd child: Thurs Dec 28th ($30)
2nd child: Fri Dec 29th ($30)
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2nd Child: Tues Jan 2nd ($30)
2nd Child: Wed Jan 3rd ($30)
2nd Child: Thurs Jan 4th ($30)
2nd Child: Fri Jan 5th ($30)
CHILD #3 INFORMATION
#3: Child's Full Name
Date of Birth
School Name
Grade
3rd child: Which day will your Second child be attending:
Child 3: All 7 Days ($170)
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3rd child: Wed Dec 27th ($30)
3rd child: Thurs Dec 28th ($30)
3rd child: Fri Dec 29th ($30)
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3rd Child: Tues Jan 2nd ($30)
3rd Child: Wed Jan 3rd ($30)
3rd Child: Thurs Jan 4th ($30)
3rd Child: Fri Jan 5th ($30)
INSURANCE
Do you need ALM Sports Insurance?
ALM Insurance cost $10 *
Yes, ALM Sports Insurance
No
Will cover up to 7 days of Camp
Primary Insurance Details
(your childs insurance carrier and policy number)
Medical Concerns
Food Allergies
How did you hear about this 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 WestPoint Insurers at a cost of $10.00 for up to 10 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 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.

PARENTS INFORMATION

CHILD #1 INFORMATION

CHILD #2 INFORMATION

CHILD #3 INFORMATION

INSURANCE

TERMS & CONDITIONS