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BizSense Article 11-18
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summer camp Registration form
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Indicates required field
Child's Name
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First
Last
Age
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Date of Birth
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Grade
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School
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Home Room Teacher
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Email
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Home Address
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City
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ST
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Zip
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Contact Information
Mom's Name
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Mom's Cell Phone
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Mom's Work Location & Phone
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Dad's Name
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Dad's Cell Phone
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Dad's Work Location & Phone
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Emergency Contact Name
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Relation to Child
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Emergency Contact Phone
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Authorized person(s) other than Mother/Father to pick up child.
Please advise this person that a valid identification will be requested to take custody of your child and leave the Academy. Your child’s safety is our duty and a primary goal of Fast Feet Sports Academy.
Name (1)
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Relation to Child (1)
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Cell/Contact Phone (1)
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Physical Description Incl. Age (1)
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Name (2)
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Relation to Child (2)
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Cell/Contact Phone (2)
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Physical Description Incl. Age (2)
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Name (3)
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Relation to Child (3)
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Cell/Contact Phone (3)
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Physical Description Incl. Age (3)
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Enrollment
Planned starting date your child begins to be a Teammate at Fast Feet Sports Academy:
Start Date
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Full- or Part-Time (3 day minimum)
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Full-Time
Part-Time
If Part-Time, select days of the week:
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Monday
Tuesday
Wednesday
Thursday
Friday
Your Child's Health
General Health
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Please provide a general statement about your child’s health that also includes any physical limitations or concerns you may have about his/her activity level and participation:
Does your child have any medical conditions which Fast Feet Sports Academy and staff should be made aware of?
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Would there be any restrictions to play or activities, either medical reasoning or parent directed?
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Doctor's Name
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Doctor's Phone Number
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Are your child's immunizations up to date?
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Yes
No
Does your child have any known allergies, including food allergies?
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About Your Child
Has your child ever been in a summer camp activity program before?
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Yes
No
If "yes", what type (center, family, etc.)?
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What is your normal method of discipline at home?
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What is your child's temperament? Are they easy going, outgoing, high energy, athletic, shy etc.? Please describe:
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Are there any food restrictions?
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Has your child had experience playing with other children or been on a team sport?
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What are your child's favorite activities and sports?
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Please list any other sports, activities, or interactions your child may have an interest in:
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Terms and Conditions
By completing this form you are agreeing to the following:
You are registering for our Summer Camp Program. Full or Part-Time Camp Registration Fee: $100, registration fee is non-refundable.
All declined payments will incur a $30.00 returned check fee.
Full Time Rate Schedule:
First Child: Based on number of weeks in camp
Each Additional Child receives 10% OFF weekly cost
Part Time Rate Schedule:
Minimum 3 days a week: cost will be calculated on how many weeks the total number of days equals.
Please call or email: coachjoe@fastfeetsportsacademy.com for summer rates.
*** There is also a Mandatory Release Form to be completed for enrollment that needs to be signed and completed prior to your child starting at the Academy***
Choose Any
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Accept Terms and Conditions
Please check the box to confirm you have read and agree to the Terms and Conditions
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Home
About
BizSense Article 11-18
Calendar
Services
Fees and Billing
Register
Summer Camp Register
Payment Page
Contact