Pirate Camp 2009 Pre- Registration Form

Please submit $ 100.- deposit check with your application

Please check one:

June 9-13 2009  Pirate Camp, 5 days, one night        $ 300 per child

July 21-25 2009 Pirate Camp , 6 days, 5 nights          $ 600 per child

July 20-25 2009 Pirate Family Stay & Play package. Includes one child's day & night Pirate Camp PLUS  Holiday Inn accommodations for (2) parents and 4 day golf passes at three of South Georgia's best golf courses.                                             $ 1250.- /family

Child Name ___________________________________________  Age _______

Adress___________________________________________________________

            ___________________________________________________________

Have you participated in River Pointe Summer Camp before? when:__________

Parent / Guardian name ______________________________       Member:  Y / N

Day Phone _____________  Night Phone ___________ email: ________________

Emergency Contact:

1) Name: ___________________Relation: ____________  Phone ______________

2) Name: ___________________Relation: ____________  Phone ______________

Please fill out one form per child and mail in with a $ 100 deposit per child, or appear in person to secure your spot.  Your deposit is refundable up to 30 days prior to the event.  The balance is due on the opening day of camp.  Space is on a first come-first serve basis.    

Please note:  Pirate camp is not for the faint of heart, your child must be between the ages of 6 and 14 and  must be a good swimmer.  There are certain dangers involved with the game of golf, watersports and other activities performed during Pirate Camp. The parent / Guardian or participant  will not hold River Pointe Golf Course , Jos Bekkers or any other employees / volunteers / participants  involved liable for any accidents or injuries resulting from these activities.   The event details are subject to change at any time.

 

Parent / Guardian Signature: _______________________   Date: ______________

 River Pointe Pirate Camp, 801 River Pointe Drive, Albany GA 31701

www.riverpointegolfcourse.com  

ph:229-883-4885  fax: 229-883-0022     email:  mailto:jos@bekkers.com?subject=Pirate Camp July 0