2012 Summer Camp Registration
at Independence Middle School 		Summer Camp
JUPITER, FLORIDA
Click for other locations and camps
SUMMER CAMP FEES
• $155 per week 9am to 4pm if registered on-line by May 1, 2012
• $175 per week 9am to 4pm if registered on-line after May 1, 2012
• Optional Early Arrival 8am to 9am, Add $25
• Optional Late Stay 4pm to 5pm, Add $25
Use the form below to pay on line by credit card.
FREE T-SHIRT WITH EVERY WEEK WHILE SUPPLIES LAST
 Choose your weeks for Summer Camp (please check)
Week 1 - June 11-15    Add Early Arrival    Add Late Stay   
Week 2 - June 18-22    Add Early Arrival    Add Late Stay   
Week 3 - June 25-29    Add Early Arrival    Add Late Stay   
Week 4 - July 2-6 (no camp on July 4)    Add Early Arrival    Add Late Stay   
Week 5 - July 9-13    Add Early Arrival    Add Late Stay   
Week 6 - July 16-20    Add Early Arrival    Add Late Stay   
Week 7 - July 23-27    Add Early Arrival    Add Late Stay   
Week 8 - July 30-August 3    Add Early Arrival    Add Late Stay   
Week 9 - August 6-10    Add Early Arrival    Add Late Stay   
Week 10 - August 13-17    Add Early Arrival    Add Late Stay   
Loyalty Discount Code:
 Items in BOLD are required
Number of Children being registered:
Child 1 Name:
 Gender:
 Date of Birth:
 Age:
 Fee ($):
Child 2 Name:
 Gender:
 Date of Birth:
 Age:
 Fee ($):
Child 3 Name:
 Gender:
 Date of Birth:
 Age:
 Fee ($):
 
Total Tuition ($):
Parent's/Guardian's First Name: 
Parent's/Guardian's Last Name: 
Street Address: 
City: 
State: 
Zip: 
Phone (Home): 
Phone (Work):
Phone (Cell): 
E-mail: 
How did you hear about us? 
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.