Summer 2023 Additional Week(s)

Parent Name*

First Last

Child Name*

First Last

Child's DOB*

Additional child[ren] and DOB

What date(s) would you like to add?

Email Address*

Camp Week (First Additional Week w/1 Week Registration)

Price: $556.00

This is for families who registered for 1 week of camp and are adding a 2nd week, activating our multi-week retroactive discount

Camp Week (Multi)

Price: $625.50

This is for families who have registered for 2+ weeks of camp and are adding week(s) with the multi-week discount already included

Camp Week (Multi) (Early Bird ONLY)

Price: $535.50

This is for families who have registered for 2+ weeks of camp and are adding week(s) with the multi-week discount and early-bird discount already included

Camp Week (Multi) (Sibling) (Early Bird ONLY)

Price: $481.95

This is for families who have registered for 2+ weeks of camp and are adding week(s) with the multi-week discount, sibling discount, and early-bird discount already included

Drop-In Date(s)

Price: $160.00

Single drop-in dates (SOLD OUT WEEKS OF JULY 10th, 24th, and AUGUST 14th, 21st, and 28th)

After-Camp (Single Dates)

Price: $40.00

Single drop-in dates for After-Camp (SOLD OUT WEEKS OF JULY 17th, 24th, and AUGUST 14th, 21st, and 28th and SEPTEMBER 5th and 6th)

After-Camp (Full Weeks)

Price: $175.00

Full week for After-Camp (SOLD OUT WEEKS OF JULY 17th, 24th, and AUGUST 14th, 21st, and 28th and SEPTEMBER 5th and 6th)

Early Drop Off (Single Dates)

Price: $10.00

Early Drop Off (Full Weeks)

Price: $40.00

September 5th and 6th

Price: $300.00

Total

$0.00

Credit Card

Card Details

Cardholder Name

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Consent*

I agree to the waiver of liability

I, the parent/guardian registering my child[ren] for a Mindful Sports program, am aware that participation in youth sports programs has some inherent risks and injury can occur. On rare occasions these injuries can be serious. In consideration of my child[ren] being allowed to participate in Mindful Sports programs, I, the parent/guardian, assume the risk of participation and agree not to hold Mindful Sports, the program directors, coaches, assistant coaches, or owner responsible for any and all injuries caused by or resulting from participating in Mindful Sports Programs. I understand that this program is taking place during a time when Coronavirus presents additional risk. I understand these risks. In the event of any injury or illness caused directly or indirectly by Coronavirus or any such virus, I will not hold Mindful Sports, and all associated parties previously mentioned, responsible. By selecting the "I agree" button above, I state that I understand this description and agree.

Consent

I agree to the permission for photographic likeness

I, the parent/guardian registering my child[ren] for a Mindful Sports program, authorize the use of pictures of the above-named child participant to be posted on the Mindful Sports website or advertising media published by Mindful Sports

Summer 2023 Additional Camp Week(s)