WEEKLY SPRING BREAK CAMP FEES • $155 per week 9am to 4pm if registered on-line by March 1, 2012 • $175 per week 9am to 4pm if registered on-line after March 1, 2012 • Optional Early Arrival 8am to 9am, Add $25 each week • Optional Late Stay 4pm to 5pm, Add $25each week

Choose the whole week for the Best Value! (please check)

Week A - March 19-23, 2012    Add Early Arrival    Add Late Stay

DAILY SPRING BREAK CAMP FEES • $35 per day 9am to 4pm if registered on-line by March 1, 2012 • $40 per day 9am to 4pm if registered on-line after March 1, 2012 • Optional Early Arrival 8am to 9am, Add $5 each day • Optional Late Stay 4pm to 5pm, Add $5 each day

Choose your individual days for Spring Break Camp (please check)

Day 1 - Monday, March 19, 2012    Day 2 - Tuesday, March 20, 2012    Day 3 - Wednesday, March 21, 2012    Day 4 - Thursday, March 22, 2012    Day 5 - Friday, March 23, 2012

Add Early Arrival or Late Stay option for each day selected (please check)

Add Early Arrival    Add Late Stay

Loyalty Discount Code:

Items in BOLD are required

Number of Children being registered: 1 2 3 Child 1 Name: Gender: Male Female Date of Birth: Age: Fee ($): Child 2 Name: Gender: Male Female Date of Birth: Age: Fee ($): Child 3 Name: Gender: Male Female Date of Birth: Age: Fee ($):   Total Tuition ($):

Parent's/Guardian's First Name:  Parent's/Guardian's Last Name:  Street Address:  City:  State:  State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:  Phone (Home):  Phone (Work): Phone (Cell):  E-mail:  How did you hear about us?  Select One Repeat Customer Internet From a Friend School Flyer Jupiter Courier Palm Beach Post Other Publication Roadside Sign Google Ad New contact info from previous registration?    Yes

I agree to allow SPORTSTYME to charge my credit card for the amount shown above.

I have read the fee schedule and agree to abide by the policies of SPORTSTYME.

All weeks / days you plan to attend must be pre-paid to secure your child's spot. Once you have registered your child you will be required to make payment on-line (secure transaction).

No cash refunds are issued BUT credit can be issued for future camp use by your child, your family, friends, etc. Credit is transferable. Credit can be used for summer camp, spring break camp, or Christmas break camp. Credit use is only limited by availability.

Click "Submit" to continue with payment information.