Krunch Kids Registration Form 2016 (PDF)




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Title: CRUNCH KIDS FITNESS
Author: amy anderson

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KRUNCH KIDS Summer Fitness Camp 2016
Child’s Name__________________________________________________________________
(Last)

(First)

Address______________________________________________________________________
(Street)

(City)

(Zip)

Parent’s Name_____________________________________ Phone______________________
Parent e-mail address___________________________________________________________
Emergency Contact Name_______________________________ Phone____________________
Upcoming Grade Level for 2016/2017 (please circle):

1st

T-shirt size: (please circle)

L

YOUTH-

S

M

2nd

3rd

ADULT-

4th
S

5th
M

6th
L

XL

*T-shirt included with Full Camp registration only. Otherwise, please add $12 if you’d like a shirt.

Please place a check mark next to the type of camp you are registering for:

___ FULL CAMP (6-weeks)- Mondays through Thursdays, June 20
through July 28- $190
___ WEEKLY- $50 per week
*If weekly, please place a check mark next to each week you are registering for:

____
____
____
____
____
____

(June 20-23) - $50
(June 27-30) - $50
(July 5-July 7) - $50
(July 11-14) - $50
(July 18-21) - $50
(July 25-28) - $50

PAYMENT: Registration form and payment are due by Monday, June 13th. Please make check or
money order payable to “Krunch Kids”. If registering by mail, please send payment and
completed registration form to:

Krunch Kids
1405 Elizabeth St.
North Myrtle Beach, SC 29582
By submitting this registration form and non-refundable payment, I give permission for my child,
whose name appears above, to participate in the Krunch Kids summer fitness program.
Parent/Guardian Signature_________________________________Date___________________






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