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Summer Program Registration
admin
2022-03-15T15:22:12-04:00
Summer Program Registration
Back to Summer Programs
Info for Summer Program
2022 Summer Program Registration Form
(9 - 12, 12:30 - 3:30 or 9 - 3:30pm)
Student's Name
*
First
Last
Birthdate
*
MM slash DD slash YYYY
Age
*
Please enter a number from
5
to
15
.
Players age 5 - 6 may only register for Morning Programs
Parent Information
Parent's Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent's Email Address
*
Enter Email
Confirm Email
Home Phone
*
Parents's Mobile Phone
Parent's Office Phone
Packages (Multiple Weeks)
Package Options
4 Weeks of Morning (9-12) $1080 [NON-MEMBER]
4 Weeks of Afternoon (12:30-3:30) $1080 [NON-MEMBER]
4 Weeks of Full Day (9-3:30) $1950 [NON-MEMBER]
8 Weeks of Morning (9-12) $2020 [NON-MEMBER]
8 Weeks of Afternoon (12:30-3:30) $2020 [NON-MEMBER]
8 Weeks of Full Day (9-3:30) $3630 [NON-MEMBER]
4 Weeks of Morning (9-12) $920 [MEMBER]
4 Weeks of Afternoon (12:30-3:30) $920 [MEMBER]
4 Weeks of Full Day (9-3:30) $1660 [MEMBER]
8 Weeks of Morning (9-12) $1720 [MEMBER]
8 Weeks of Afternoon (12:30-3:30) $1720 [MEMBER]
8 Weeks of Full Day (9-3:30) $3090 [MEMBER]
Nothing/Clear
IF MORNING Package Selected Above: Select Desired Weeks (4 or 8)
Week 0mp: June 13 - 17
Week 1mp: June 20 - 24
Week 2mp: June 27 - July 1
Week 3mp: July 5 - 8
Week 4mp: July 11 - 15
Week 5mp: July 18 - 22
Week 6mp: July 25 - 29
Week 7mp: August 1 - 5
Week 8mp: August 8 -12
Week 9mp: August 15 - 19
Additional weeks can be purchased at the discounted rate via emailing admin@passacademypstc.com
IF AFTERNOON Package Selected Above: Select Desired Weeks (4 or 8)
Week 0ap: June 13 - 17
Week 1ap: June 20 - 24
Week 2ap: June 27 - July 1
Week 3ap: July 4 - 8
Week 4ap: July 11 - 15
Week 5ap: July 18 - 22
Week 6ap: July 25 - 29
Week 7ap: August 1 - 5
Week 8ap: August 8 -12
Week 9ap: August 15 - 19
Additional weeks can be purchased at the discounted rate via emailing admin@passacademypstc.com
IF FULL DAY Package Selected Above: Select Desired Weeks (4 or 8)
Week 0fp: June 13 - 17
Week 1fp: June 20 - 24
Week 2fp: June 27 - July 1
Week 3fp: July 4 - 8
Week 4fp: July 11 - 15
Week 5fp: July 18 - 22
Week 6fp: July 25 - 29
Week 7fp: August 1 - 5
Week 8fp: August 8 - 12
Week 9fp: August 15 - 19
Additional weeks can be purchased at the discounted rate via emailing admin@passacademypstc.com
Individual Weeks
Week 0n: June 13 - 17
Morning Camp (Wk0) $300 [NON-MEMBER]
Afternoon Camp (Wk0) $300 [NON-MEMBER]
Full Day Camp (Wk0) $540 [NON-MEMBER]
Morning Camp (Wk0) $260 [MEMBER]
Afternoon Camp (Wk0) $260 [MEMBER]
Full Day Camp (Wk0) $460 [MEMBER]
Nothing/Clear
Week 1n: June 20 - 24
Morning Camp (Wk1) $300 [NON-MEMBER]
Afternoon Camp (Wk1) $300 [NON-MEMBER]
Full Day Camp (Wk1) $540 [NON-MEMBER]
Morning Camp (Wk1) $260 [MEMBER]
Afternoon Camp (Wk1) $260 [MEMBER]
Full Day Camp (Wk1) $460 [MEMBER]
Nothing/Clear
Week 2n: June 27 - July 1
Morning Camp (Wk2) $300 [NON-MEMBER]
Afternoon Camp (Wk2) $300 [NON-MEMBER]
Full Day Camp (Wk2) $540 [NON-MEMBER]
Morning Camp (Wk2) $260 [MEMBER]
Afternoon Camp (Wk2) $260 [MEMBER]
Full Day Camp (Wk2) $460 [MEMBER]
Nothing/Clear
Week 3n: July 5 - 8 (4 days)
Morning Camp (Wk3) $240 [NON-MEMBER]
Afternoon Camp (Wk3) $240 [NON-MEMBER]
Full Day Camp (Wk3) $430 [NON-MEMBER]
Morning Camp (Wk3) $210 [MEMBER]
Afternoon Camp (Wk3) $210 [MEMBER]
Full Day Camp (Wk3) $370 [MEMBER]
Nothing/Clear
Week 4n: July 11 - 15
Morning Camp (Wk4) $300 [NON-MEMBER]
Afternoon Camp (Wk4) $300 [NON-MEMBER]
Full Day Camp (Wk4) $540 [NON-MEMBER]
Morning Camp (Wk4) $260 [MEMBER]
Afternoon Camp (Wk4) $260 [MEMBER]
Full Day Camp (Wk4) $460 [MEMBER]
Nothing/Clear
Week 5n: July 18 - 22
Morning Camp (Wk5) $300 [NON-MEMBER]
Afternoon Camp (Wk5) $300 [NON-MEMBER]
Full Day Camp (Wk5) $540 [NON-MEMBER]
Morning Camp (Wk5) $260 [MEMBER]
Afternoon Camp (Wk5) $260 [MEMBER]
Full Day Camp (Wk5) $460 [MEMBER]
Nothing/Clear
Week 6n: July 25 - 29
Morning Camp (Wk6) $300 [NON-MEMBER]
Afternoon Camp (Wk6) $300 [NON-MEMBER]
Full Day Camp (Wk6) $540 [NON-MEMBER]
Morning Camp (Wk6) $260 [MEMBER]
Afternoon Camp (Wk6) $260 [MEMBER]
Full Day Camp (Wk6) $460 [MEMBER]
Nothing/Clear
Week 7n: Aug 1 - 5
Morning Camp (Wk7) $300 [NON-MEMBER]
Afternoon Camp (Wk7) $300 [NON-MEMBER]
Full Day Camp (Wk7) $540 [NON-MEMBER]
Morning Camp (Wk7) $260 [MEMBER]
Afternoon Camp (Wk7) $260 [MEMBER]
Full Day Camp (Wk7) $460 [MEMBER]
Nothing/Clear
Week 8n: Aug 8 - 12
Morning Camp (Wk8) $300 [NON-MEMBER]
Afternoon Camp (Wk8) $300 [NON-MEMBER]
Full Day Camp (Wk8) $540 [NON-MEMBER]
Morning Camp (Wk8) $260 [MEMBER]
Afternoon Camp (Wk8) $260 [MEMBER]
Full Day Camp (Wk8) $460 [MEMBER]
Nothing/Clear
Week 9n: Aug 15 - 19
Morning Camp (Wk9) $300 [NON-MEMBER]
Afternoon Camp (Wk9) $300 [NON-MEMBER]
Full Day Camp (Wk9) $540 [NON-MEMBER]
Morning Camp (Wk9) $260 [MEMBER]
Afternoon Camp (Wk9) $260 [MEMBER]
Full Day Camp (Wk9) $460 [MEMBER]
Nothing/Clear
Total Fees
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
Expiration Date
Security Code
Cardholder Name
Medical Authorization & Release
Camper Name
*
First
Last
Camper Condition
*
By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first camp session.
Date of Medical Authorization
*
MM slash DD slash YYYY
By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.
Date of Parent Release
*
MM slash DD slash YYYY
By dating above, I agree to hold the Pass Academy and Potomac Swim & Tennis Club harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.
Cancellation Policy
*
By checking this box I accept the following policy. All refunds are subject to fee charges of 6%.
Permission for Photo Use
*
Yes
No
I give permission for photos of my child participating in Pass Academy at Potomac Swim & Tennis Club programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.
Additional Information (optional)
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