summer program 2016 membership checklist · summer program 2016 membership checklist ... foster...
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SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST Member’s Name:_________________________________________ Age:_____________ ___________ Completed Membership Application (all lines on the application must be filled
out; incomplete applications will not be considered and will result in your child being placed on a waiting list.
___________ Signed Membership Orientation Handbook ___________ Immunization Records ___________ Physical Form ___________ Birth Certificate ___________ 2 Emergency Contacts other than Parents ___________ $10 Registration Fee
YES Program participants are required to pay registration fee.
PAYMENT OPTIONS PAY PER DAY PAYMENT IN FULL (BY: APRIL 30TH)
$5.00 PER DAY ($7 on Pool Days)
$135.00 (10% Discount Included)
*Teens will pay pool days separately. They will need to bring $2.00 to swim on these days.* Unit Director’s Initials:____________ Date:_____/_____/______ Unit/Site: WTZ Grade:________________