2401 E 3rd Avenue
Foster City, CA 94404
Tel: 650.573.7888
Fax: 650.577.1074



2006 Summer Camp: Online Enrollment
   

Please fill out the forms below to begin your online enrollment. You may add up to three children using this online form.

NOTE: We will follow up with you via phone to collect your credit card information after you have filled out the forms below.

Part One: Family Information

Parent's Name:
Address:
City:
Zip:
Home Phone:
Day Phone:
Cell Phone:
Email:
Medical Contact Phone:
Med. Insurance Co:
Medical ID #:

List any physical disabilities including allergies that we should be aware of for instructional modification or emergency


Part Two: Participant(s)' Information

Name of Child
Age
Date of Birth
Camp Date
Session
Rental Club Fee* ($25, if app.):
Lunch Fee* ($25, if app.):
Camp Fee:
   Add Another Child?       Yes       No

TOTAL Camp Fee:
(please calculate)


Part Three: Conditions of Enrollment & Payment Options

Condition of Enrollment

1. I hereby authorize the directors of the Mariners Point Golf Camp to act for me according to their best judgment in any emergency requiring medical attention. I have no knowledge of any physical impairment that would be affected by the above named camper in participation in the camp program. And I hereby waive and release the Mariners Point Golf Camp from any and all liability for any injuries while at camp.

2. The undersigned parent or guardian consents to the use of any pictures of the camper to be used in advertising or promotion.

3. Mariners Point Golf Camp reserves the right to dismiss any player whose conduct is unsatisfactory. There are certain inherent risks associated with golf. A child will be dismissed from a program for compromising the safety of others. Mariners Point Golf Camp is for well adjusted individuals who treat others with respect and value each player's right to a positive camp experience. Camp Refund Policy: For a refund, less a $25 processing fee, we must be notified two weeks prior to the first day of camp. If you cancel less than two weeks prior to the start of your session, we will give you a camp credit for all camp fees paid, valid through 2007. There are no refunds for cancellations made within 24 hours of the first day of camp.

I accept the terms as stated above in Conditions of Enrollment

Payment Options

1. I will call Mariners Point within the next 24 hours to send in my credit card information. NUMBER TO CALL: (650) 573-7888 ext. 2
2. I will pay by credit card online. ( We accept )