ALCAN SUMMER ADVENTURE CAMP REGISTRATION
(To be eligible for Early Bird prizes registration must be postmarked, or received online, by April 30)
Mail to: ALCAN Sports: P.O. Box 80691, Fairbanks, AK, 99708 Phone 907-455-4203
Drop Off at Play It Again or Sport King

NAME: _________________________________________ AGE: ____________________

ADDRESS: _________________________________ CITY: ________________________

STATE: ________ZIP: _____________ EMAIL:  __________________________________

HOME PHONE: _____________________ DAYTIME PHONE: _______________________

HEIGHT: ___________  WEIGHT: ___________________

MEDICAL INFORMATION: (Allergies or any special conditions):__________________________
_____________________________________________________________________________
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Select Weeks to Attend Gardening Camp - June 8 - 12 _____ Lego Camp - June 15 - 19 _____ Lego Camp - July 13 - 17   ______

ALCAN ADVENTURE SUMMER CAMP PACKAGES: Please enter Total Weeks ___ 2 Weeks: Full Day $400  ($50 Savings)                                                                   Total: _______ ___ 1 Week:  Full Day $225                                                                                              Total: _______                                                                                                                                                                        SUBTOTAL: _______

FAMILY DISCOUNT:  Calculate Your Family Discount Second Child in Family 10% Discount                 Third, Fourth, Fifth Child in Family 15% Discount Enter Discount Here:

PLEASE TOTAL YOUR REGISTRATION TEAM ALCAN SUMMER CAMP TOTAL AMOUNT                        ____________ TEAM ALCAN SUMMER CAMP FAMILY DISCOUNT:                    ( __________ )                                      TEAM ALCAN SUMMER CAMP TOTAL PAYMENT DUE  ____________

PAYMENT OPTIONS: ENCLOSED IS A CHECK OR MONEY ORDER FOR THE FOLLOWING: ___ DEPOSIT ($250)         ____ TOTAL PAYMENT * Deposit is non-refundable

ALCAN SPORTS and ADVENTURE INSURANCE WAIVER
The applicant, his/her parents and/or guardians, acknowledge that the sports and/or the activities herein may include risks of physical contact and injury, and agree ALCAN SPORTS, its agents, servants, employees, instructors, and directors, shall be held harmless and not liable for any injury or damage to the participants as a result directly or indirectly caused by attending the school. The applicant, his/her parents and/or guardians also agree to indemnify the UNIVERSITY OF ALASKA FAIRBANKS, TANANA VALLEY FAIRGROUNDS ASSOCIATION, MINI  GOLF FAIRBANKS and the FAIRBANKS NORTH STAR BOROUGH, their employees, agents, and managers from all claims and damages.

NAME OF PLAYER: ________________________________ DATE: __________________

SIGNATURE OF PARENT OR GUARDIAN: ____________________________________