Fall Season
$0.00
First Name
Last Name
Select an option... 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000
Street Address
City
State
Select an option... YXS YS YM YL AS AM AL AXL
Camp 1 – CW Post University July 10th to July 14th 9.00AM til 4.00PM
Camp 2 – Stony Brook University July 17th to 21st 9.00AM til 4.00PM
Name
Cell Phone
Emergency Contact
Email
This is to certify that my son/daughter has permission to participate in any and all camp activities. I assume all risks and hazards incidental to such participation and I do hereby agree to hold harmless the staff of the Valencia CF Academy NY from any and all claims arising out of any injury to my child. Furthermore, this verifies that the camper is up to date with his/her immunizations and is able to participate in all camp activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility. I also give permission for any images of my child to be used for promotional purposes
I agree
If you wish to pay by card, click “Credit Card”, and payment will take place at checkout. If you wish to pay by cheque, click the checque option, and sent a cheque to the amount of $500.00 to Valencia CF Academy New York – PO Box 40139, Glen Oaks, Queens, NY, 11004
Credit Card ($349.00)
Cheque
