2010
Camp Dates
July 12 - 16th
Aug. 2 - 6th
Camp Registration
(Complete Form and Click Button below)
Session I
July 12-16th, 2010
9:00 am - 3:00 pm
$385
Spectrum South Bay
Session II
August 2-6th, 2010
9:00 am - 3:00 pm
$385
Spectrum South Bay
Camper's Name:
Age:
Birthdate:
Grade:
Address:
Address Line 2:
City:
State:
Zip:
Telephone:
Cell Phone:
Parent Email:
(More form below...)
T-Shirt Size: (click on box to select)
Youth:
Medium
Large
XL
Adult:
Small
Medium
Large
XL
I hereby authorize the MVP camp to act for me in their best judgement in any emergency requiring medical attention and I hereby waive and relase the camp from any and all liability concerning injuries or illnesses while at camp. I understand that the camp retains the right to use photographs of campers while at camp fo publicity and advertising purposes.
Insurance Company:
Policy Number:
Parents' or Legal Guardian Signature: _______________________________________________________________
Mail check and signed, completed application to:
Dave Miller
P.O. Box 1373
Manhattan Beach CA 90267-1373
Please make checks payable to Dave Miller
Copyright 2006 by Dave Miller
