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   Application Form                



Download CompleteSquashCamps Application Form(pdf file, 26 KB)
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  • The program rents Harvard facilities and is not sponsored by Harvard University. Harvard is not able to exercise supervision or control over the activities of CompleteSquash at Harvard

  • My child is required to provide his/her own equipment that is in good condition and adequate for the uses required for her/his participation in the program.

  • I understand that lost equipment and personal belongings are not the responsibility of CompleteSquash at Harvard.

  • I will instruct my child to obey the rules of CompleteSquash at Harvard.

  • If my child disobeys the camps rules, I agree that my child may no longer be able to participate in the program and that my fees paid for attending CompleteSquash at Harvard will not be refunded.

  • My child is physically able to participate in the program and has no medical condition which could effect his/her participation.

My child’s primary care physician is and can be reached at the following telephone number
My child has the following allergies
  • I have attached a medical questionnaire to this application and state that it is true and complete.
    I grant CompleteSquash at Harvard the right:
    a) to take appropriate actions for my child’s health and safety.
    b) to obtain any necessary medical assistance.
    c) to use photos of my child(ren) in camp publications.

  • I will be fully responsible for all medical expenses incurred by my child while attending the program.

    My child is covered by health insurance, my policy/reference/subscriber number is

    (We) have read and freely signed this agreement which shall take effect as a sealed instrument:

    Parent / Guardian signature

    Printed name

    Alternative Contact if parent is not available

    Work telephone

    Home

    CompleteSquash, P.O Box 380231, Cambridge, MA 02238.
    CompleteSquash camp is governed by regulations of Massachusetts.
    Department of Public Health (105 CMR 430-000), and is licensed by the Boston Board of Health.
    Information on 105 CMR 430-000 can be obtained at (617) 983-6761.


    Registration Summer Camps @ Harvard 2010

     
    Choose Camp
      Day camper Boarder Weekend Stay Optional
    Adult Squash Camp Week 1: July 13-15, & 17 2010
    $ 399
       
    Adult Squash Camp Week 2: July 20-22 & 24 2010
    $ 399
       
    Adult Squash Camp Week 1 & 2
    $ 599
       
    Squash Basics Week July 11 - 16 2010
    $ 1,099
    $ 1,199
    $ 150
    Elite Week July 18 - 23 2010
    $ 1,499
    $ 1,599
    $ 150

    2 Week Special July 11 - July 23, 2010

    $ 2,099
    $ 2,299
    $ 150
     

    Name

     

      Sex
     

    Address

     

    City

     

     

      State    
      Zip    
      Age    
      Rank National / School    
     

    Parents / Guardian

     

     

     

    School

     

    Day Phone

    Evening  

     

    E- Mail


    Camp Rates        
      Day camper Boarder Weekend Stay Optional Deposits
    Adult Squash Camp Week 1: July 13-15, & 17 2010
    $ 399
         
    Adult Squash Camp Week 2: July 20-22 & 24 2010
    $ 399
         
    Adult Squash Camp Week 1 & 2
    $ 599
         
    Squash Basics Week July 11 - 16 2010
    $ 1,099
    $ 1,199
    $ 150
    $ 500
    Elite Week July 18 - 23 2010
    $ 1,499
    $ 1,599
    $ 150
    $ 500

    2 Week Special July 11 - July 23, 2010

    $ 2,099
    $ 2,299
    $ 150
    $ 1000

    Airport transfer if needed: $75 each way

     
    Please fill in the required information and include deposit as stated above and mail this form to
    Complete Squash, P.O Box 380231 Cambridge, MA 02238 by June 1st, 2010.

    Make check payable to Complete Sports Solutions. All deposit/s are non-refundable after May 1, 2010



    CompleteSquash
    P.O Box 380231
    Cambridge, MA 02238
    Phone / Fax : 617– 491-3234
    info@css-sport.com
     
  Contact Number - (617) 491-3234
mailto:info@css-sport.com