We will be offering 1 session-
7:30 a.m.-6:00 p.m. Drop off/pick up will be in the camp room.
7:00 a.m. Early drop-off available- $10 for week
I.Friday, March 26 & Monday- Friday March 28-April 1, 2016
Daily Rate for all sessions
: Members-$26.00 Non-Members-$32.00
*** You must register for camp at Foxy’s one week in advance in order
to retain your child’s space.
Child’s Name__________________________________ Age_______ Home Phone#____________________
Mother’s Name________________________________ Emergency #(s)______________________________
Father’s Name_________________________________ Emergency #(s)______________________________
Please list only the sessions that you are paying for at this time below.
If your child has a temperature higher than 100.5 degrees, or is showing
signs of contagious conditions, he/she will be excluded from camp and
you will be required to pick your child up. Your child will not be able
to return to camp until he/she is fever free and shows no signs of contagious
conditions. A doctor’s note may also be required upon return to camp.
Does your child have any health conditions? _________________________________
Please list any medications your child takes regularly __________________________________Does
your child have
any special needs?_____________________________________________________________________________
Waiver of Liability
I understand that Foxy’s Fitness is not responsible for any injuries
that may occur during participation of activities on the premises.
For office use only:
Total Payment:_________ Reg Fee Paid?_______ Method of Payment__________