Sign up - 26'-27' After School Pre-Register

Personal Details

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* First name

* Last name

* Gender

* Phone Number Add secondary Phone +

Secondary Phone

* Email Address

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Secondary Email Address

* Date of birth

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By providing your phone number, you agree to receive SMS for marketing, account notifications and customer service from Funfinity Summer Camp. Message frequency may vary. Standard Message and Data Rates may apply. Reply STOP to opt out. Reply HELP for help. Your mobile information will not be sold or shared with third parties for promotional or marketing purposes.

* Parent/Guardian's name

Address

* Street address

* City

* Zip / Postal code

* State

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Guardians

Contact Name

Phone Number

Relation

Additional Contact

Membership

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Reg fee 50% sign up

Duration Ongoing

Access Unlimited

Cost $50.00

Membership Documents

Medical Conditions

Known Medical Conditions

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Account Password

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Password (minimum 8 characters)

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Credit Card All transactions are secure and encrypted

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Card Number

Expiration Date

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Zip / Postal code

Billing Street Address