Summer Camp Registration Form

Registration Form

Synchro Adventure Camp 2009

Athlete's Name

Parent's Name

Address

City/Province

Postal Code

Phone (Day)

Phone (Night)

Birth Date (d/m/y)

Current Tier

I am Registering as a:

Overnight Camper $450

Day Camper $350

Does the Camper have any food allergies or special needs that

we should be aware of? Yes No

If yes, please list:

Room Mate Request

If you already know who you would like to share a room with

please list below.

**Please note that although we will do our

best to accommodate room mate requests they are not

guaranteed.

Request #1

Request #2

Request #3

Camp T-Shirts

Please indicate size needed:

Ladies:

Small Medium Large X-Large

Please Send Completed Forms To:

Synchro Adventure Camp

C/O Southern Synchro Club

3824 Glacier Avenue south

Lethbridge, AlBerta

T1K 3N8

NOTE: All cheques payable to “Southern Synchro Club.”

After completing online registration page please send

hardcopy of Registration Page with cheque in the mail.

General Information: info@southernsynchro.com Last modified: 04/07/07

General Information: info@southernsynchro.com
Last modified: 04/07/07