Statement of Wellness for Participation and Photo/Video Release:
I agree to the terms and conditions of the above Statement of Wellness for Participation and Photo/Video Release.
I am the legal Parent/Guardian for this child.
Date of last DPT/Tetanus immunization (required by law):
SPECIAL MEDICAL CONCERNS
Note: If your child requires a special diet, meals must be provided by parents.
Please use the area above to describe any ALLERGIES, MEDICAL CONDITIONS and/or SPECIAL NEEDS.
Child T-Shirt Size:
S (6-8) M (10-12) L (14-16) XL (18-20)
How did you hear about Sugarfoots?
Mailer Internet Advertisement Word of Mouth Other
Please list any special talents your child may have:
Payment by check or credit card (MC, Visa, Amex, Discover).
Sorry No Refunds!
SUMMER CAMP FEES: Early Registration Deadline: May 1, 2010 Before April 30, 2010: $250.00 per week After April 30, 2010: $275.00 per week
$50.00 Non-Refundable Application Fee to be included with the registration form
Payment by check or credit card (MC, Visa, Amex, Discover)
Located in Upper NW DC