Summer Camp Registration

Please fill out one form per child. You will be able to add additional children after completing this form.

Member Number/Sponsor's Member Number *

Member First and Last Name *

Child's First Name *

Child's Last Name *

Parent Email Address *

Phone Number *

Secondary Phone Number

Please list the first and last names of up to 3 people that you give permission to be an Authorized Pick-Up Person *

Child's Birthdate (reminder that camp is for ages 5-12)

Which week(s) would you like to enroll in? *

	a. Week One "Summer Kick Off" — June 6-10
	b. Week Two "Color Graze" — June 13-17
	c. Week Three "Under the Sea" — June 20-24
	d. Week Four "Space Explosion" — June 27-July 1
	e. Week Five "Animal Planet" — July 11-15
	f. Week Six "Carnival" — July 18-22
	g. Week Seven "Beach Luau — July 25-29

If you are interested in single days, please let us know below.

Male or Female? *

What size t-shirt? Youth SM, MD, or LG *

Does your child have any dietary considerations?

Please list any allergies, diseases, or medical problems we should be aware of

Would you like to sign up for before or after-hours care? Please include which dates you require and until what time. Advanced registration is required. Before Hours care is available Monday to Friday from 8:00AM - 9:00AM and After Hours care is available Monday to Friday 4:00PM - 5:00PM for $10/hr per child or $15/hr per family.

Cancellation Policy

Please note your member account will be charged for camp in the month you complete registration. Any cancellations made less than two weeks from the camp start date will result in a 50% charge to your member account. Any cancellation after the start of camp will result in a full member charge. Children removed from camp due to behavioral issues will incur a full member charge.

Waiver Form
Policies and Procedures

By checking this box, I hearby acknowledge that I have read the Cancellation Policy, Country Club of Roswell Release Form, Camp Procedures & Policies, and I understand and agree to the terms releasing claims and legal rights *

By checking this box, I confirm the child is a grandchild/non-member

Your Name *

Your Email Address *

Submit