Please add any important information about your child,
such as medical or physical conditions (e.g., asthma) in the following area:
SCHOOL INFORMATION
School Name:
School Address:
Cross Street(s):
School Zipcode:
School Class:
Teacher:
Dismissal Time:
Name anyone other than parents who will be at your building
for drop off and their relationship to you or check the following box if
dropping off with the doorman is acceptable:
Drop my child off with Doorman
Greeter #1 Name:
Relationship:
Greeter #2 Name:
Relationship:
Greeter #3 Name:
Relationship:
PROGRAM SELECTION
Check the Sports Camp you wish to enroll in:
School Vacation Camp
Corbin's Sports and Adventure Day Camp
School Vacation Day Camp Programs(please check dates below)
March Spring Break March 21 - April 1:
21
22
23
24
25
28
29
30
31
1
Total Payment for School Vacation Day Camp Programs: 1 Week ($788)
Weeks ($1700)
# of Days ($180 /Per day)
Summer Day Camp: Corbinıs Crusaders offers both full and partial weeks to accommodate your busy summer schedules. Select the number of full or partial weeks youıd like to sign up for from the list below.
Full Week Sessions
4 Day Week Sessions
M
T
W
Th
F
3 Day Week Sessions
M
T
W
Th
F
Please Check off Week(s) Interested:
Winter Break Camp:
December 21-24
December 28-31
Spring Break Camp:
March 22-April 5
Summer Day Camp:
June 14-18 (pre-camp)
June 21-25 (pre-camp)
June 28-July 2
July 6-9 (no camp July 5th)
July 12-16
July 19-23
July 26-30
August 2-6
August 9-13
Additional Notes about Weeks Attending:
CORBIN'S GEAR
Sweatshirt - $25
Child: Medium Large
Adult: Small Medium Large
Hat - $15
Youth Adult
T-shirt - $10
Child: Medium Large
Adult: Small Medium Large
Custom Cost: ( only if you have been told to fill in a custom cost )
Coupon Code ( enter valid coupon code here )
If You Have Additional Questions or Comments, Enter Them Below..
SUBMIT APPLICATION
Once you have reviewed the above information, press the submit button below to continue.
Cancellation Policy and Deposit Schedule:
Non-refundable $200 deposit due per week with application. Remaining balance and all medical
forms are due by May 1st. After the first day of Camp, all fees are non-refundable.