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