ClubCorp Network

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Summer Camp Enrollment Form
This form will be submitted to ClubCorp.
Child's Information
Child's First Name:
Child's Last Name:
Address 2:
City:
State:
Postal Code:
How should we contact you ?
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Information Requested
Child's Age
Date of Birth
Parent's Name
Club Member? Yes   No  
Member Number
Youth t-shirt size
Camp Sessions
2015 Camp Sessions
(select all that apply)
 Session I - June 8 - 12
 Session II - June 15 - 19
 Session III - June 22 - 26
 Session IV - June 29 - July 3
 Session V - July 6 - 10
 Session VI - July 13 - 17
 Session VII - July 20 - 24
 Session VIII - July 27 - 31
 Session IX - Aug. 3 - 7
 Session X - Aug. 10 - 14
 Session XI - Aug. 17 - 21
Within 3 days of enrollment, the Club will send you an e-mail confirmation
and a do follow-up call to secure payment.

Form Verification Code:
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