Register Holiday Camps

Parental Consent/Release & Acknowledgements — Please select your choice below and sign on the bottom of this page.
Understanding of Inherent Risk and Permission to Participate*
- Yes
- No
It is my sincere wish that my child enjoy the experience afforded at camp and I understand that even after reasonable precautions have been taken, many activities such as, hiking and playing games in the woods have inherent risks. I release and hold harmless DMB Elite Inc. and their employees, but NOT to the extent that such liability is due to willful misconduct by DMB Elite Inc.
Parent Signature*
Date*
MM slash DD slash YYYY

Holiday Camp 2020-2021 Dates and Locations
- Option 1 - Mon/Tue/Wedn of Weeks 12/21, 12/28, 1/4 at Peers Park
- Option 2 - Mon/Tue/Wedn of 1/4 at Peers Park
Holiday Camp Selections
- 3 Weeks (12/21, 12/28, 1/4), 9 Days (3 per week - M/T/W) - Peers Park ($65 per day, $585 total)
- 1 Week (1/4), 3 Days (M/T/W) - Peers Park ($75 per day, $225 total)
Run for Fun Holiday Camp
Price: $0.00
Coupon
Office Use
Total Cost
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Holiday Camps