2019 East Lake Summer Camp

This form will be submitted to ClubCorp.
Camper's Information
Camper's First Name:
Camper's Last Name:
Address:
City:
State:
Zip Code:
How should we contact you ?
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Additional Information
Camper's Age
Camper's Date of Birth
Parent's Name
Club Member? Yes   No  
Member Number (or enter NONE)
Camp Sessions
(select all that apply)
 Session 1: FULL
 Session 2: FULL
 Session 3: FULL
 Session 4: FULL
 Session 5: July 1 – 5 (Prorated: No Camp July 4)
 Session 6: July 8 - 12
 Session 7: July 15 - 19
 Session 8: FULL
 Session 9: July 29 – Aug 2
 Session 10: Aug 5 - Aug 9
Does your child have a tennis racquet? Yes   No  
Does your child have golf clubs? Yes   No  
You will receive an email confirmation from the Club within 1 week of enrollment.

  

* Bold Fields are Required