Child Name: Email:
Parent Name: Phone: Child's Age:
Address:
Check One: Enter Paypal Receipt Number:
Check your email confirmation to find receipt number
Select a shirt size: (shirt sizes run somewhat small)
If registering for football, select a player number for back of shirt: (any single or double digit number)
Enter the school district that your child attends:
Select the camp location you are registering for:
Adams County Camps York County Camps
Dauphin County Camps
Cumberland County Camps
Lancaster County Camps Lebanon County Camps
Franklin County Camps
Please list the number of Eckert Fitness camps your child has previously participated in:
Would you like to coach and/or help with organizing kids:
I, hereby for myself, heirs, executors, and administrators assume all risks associated with the participating in this program and do hereby release and discharge Eckert Fitness Group, LLC, its owners, staff, volunteers and coaches from any and all claims of liability for death, personal injury, damages or losses arising out of my child's participation in this program. I certify that my child is physically capable to participate in all activities conducted in this program. I also understand that refunds will not be granted after the registration deadline.
Please enter any additional comments below:
Only submit an online form if having already completed online payment option in Step 1 above.
If you are registering more than 1 child, please submit a form for each child
Please complete the following steps to register your child:
STEP 1: Complete payment process
STEP 2: Complete Form and Click Submit Button
Step 2: Complete form & click submit
Step 1: Complete payment for each child registering
Please write down your paypal receipt number as you will need to enter it on form below
$60 $50
Click Submit Button To Complete Registration
Now accepting registrations for Spring 2011 Camps
All Camps Will Start on Saturday, April 2, 2011
To ensure that your child is registered and added to the camp roster,
please be sure to complete and submit the form in Step 2
after completing the payment process.
