CAMPER INFORMATION
Camper's First Name Camper's Last Name
Street Address
City State Zip
Date of Birth (Month) January February March April May June July August September October November December (Day) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (Year) 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 M/ F Choose Male Female
Roommate Request 1. 2.
Previous camper Select Yes No New Camper Referral
How did you hear about us?
Parent Guardian
Home Telephone Alternate Telephone
Mobile Phone Fax Email
2008 PLEASE CHOOSE YOUR PROGRAM AND WEEKS 2008
PROGRAMS
BASE COST 1st week
Week 1 June 15th
Week 2 June 22nd
Week 3 June 29th
Week 4 July 6th
Week 5 July 13th
Week 6 July 20th
Week 7 July 27th
Week 8 Aug 3rd
Week 9 Aug 10th
$895
open
X
$795
$695
$725
To Register... simply click the pulldown menu below and select your choices. Contact BBSR if you would like to register for more than three weeks.
PROGRAM
SELECT Billy Martin Tennis Greg Patton Tennis BBSR Tennis Skateboard & Rollerblade Golf Brazil Soccer UK Soccer Inline Hockey Beach Volleyball Multi-Sport Adventure Wake & Ski BBSR Basketball
DATES
SELECT Week 1, June 15 Week 2, June 22 Week 3, June 29 Week 4, July 6 Week 5, July 13 Week 6, July 20 Week 7, July 27 Week 8, August 3 Week 9, August 10
Discounts: Please check the appropriate box(es). There is a limit of 2 per camper.
Friends Name: