ECA CA. Registration

The Place to Have Fun and Cheer

1) Use the form below to reserve the camp sessions of your choice.
2) A $25.00 Non-Refundable Deposit to reserve your child's spot in Camp.
Once filling out this form use the submit button below and you will get a conformation on all selections made.
3) Use the link on the conformation page and print out form to complete the registration process, Please bring this form with you on the first day of camp.
If mail a check for deposit please include this form.
     Don't worry its very simple! We look forward to your response.
                                 Questions / Coments

Make session selections :aAa

Session selections
Reserve sessions
Select any of the following options that apply: If you have more than one child attending the same session and time please     check boxes 1, 2, or 3 below for each child.


       CHEERLEADING CLINIC Session #1

         1   2 3   Mon, Tues, Wed
         Clinic- July 24th - 26th        9:00am - 12:00 Noon

                   Beginner     Intermediate     Advanced d

CHEERLEADING CLINIC Session #2

1 2 3 Mon, Tues, Wed
Clinic- Aug 7th - 9th 5:00 - 8:00 pm

Beginner Intermediate Advancedced d

                  RWhen Feserve Session


            Children's Names and Ages:         Back:

First Name

First Name

Last Name

Date of Birth
Example 10/01/00

Date of Birth

Example 10/01/00

Sex
Male Female

Sex

Male Female

First Name

Date of Birth

Example 10/01/00

Sex

Male Female

Fees & Discounts:

$85.00 per session.
10% discounts with families with two or more enrolled.
15% discounts for same child doing both session 1 and 2.

Please provide the following credit card information:
Note: For non credit card clinic deposit. In credit card selection choose
A. Mailing check for deposit
$ 25.00 in form of a check please mark box.

RESERVE NOW

Credit Card

Cardholder Name

Card Number

Expiration Date

Example 00/00/00

                                 contact information:

First Name

Last Name

Work Phone

   Example 845-000-0000

Home Phone

      E-mail

	MAILING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Back to: Session selections Back to Cheer Page: Page 1

First Name		First Name
Last Name		Date of Birth	Example 10/01/00
Date of Birth	Example 10/01/00	Sex	Male Female
Sex	Male Female

	RESERVE NOW
Credit Card
Cardholder Name
Card Number
Expiration Date	Example 00/00/00

First Name
Last Name
Work Phone	Example 845-000-0000
Home Phone	E-mail