Please print out the form and mail it to USM Sports Camps, 37 College Ave., Gorham, ME
04038
You will receive confirmation of your registration by mail; please
contact us if you do not
receive confirmation within ten (10) business days of mailing your
registration.
Camper's Full Name: ___________________________________________________
Parent Name(s): ________________________________________________________
E-mail Address: ________________________ Home Phone: ___________________
Address: _______________________________________________________________
City/State/Zip: ________________________________________________________
Work Phone: ____________________________
Is this work phone for /__/ Mom or /__/ Dad?
Camper's School: _________________________________ Grade Entering: _____
Date of Birth: ________________________ Gender: ______________
Roommate Preference: ___________________________________________________
If you do not request a roommate, one will be assigned one of the same age.
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Camp(s) you are registering for and overnight/commuting if applicable
WEEK-LONG CAMPS
_____ Overnight Camp: $415.00 _____ Commuting Camp: 355.00
_____ Boys' SWISH Camp, June 22 - 26
_____ Girls' SWISH Camp, July 13 - 17
_____ Baseball Camp, July 27 - 31
_____ STIX Field Hockey Camp, August 3 - 7 ~ Goalie Y N
DAY CAMPS
_____ Day Camp: $185.00
_____ Soccer Day Camp, June 23 - 27
_____ All Sports Day Camp, July 7 - 11
_____ Boys' SWISH Day Camp, July 21 - 25
_____ Girls' SWISH Day Camp, July 28 - August 1
WEEKEND SPECIALTY CAMPS (except Pole Vault)
Overnight Camp: $295.00 Commuting Camp: 255.00
_____ SWISH Position Play Camp, June 20 - 22
Position Post Perimeter
Advanced STIX Field Hockey Camp, August 8 - 10
Goalie Y N
Pole Vault WEEKEND SPECIALTY CAMPOvernight Camp: $280 Commuting Camp: $240
_____ USM Pole Vault Camp, July 19 & 20
Personal Best Jump ______' ________"
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Cancellation/Refund Policy - Campers will receive a refund of all but a $50
administrative handling fee if notice of cancellation is given up to two weeks
prior to the start of camp. There are no refunds for "no shows".PLEASE verify your credit card number before sending. Payment by credit card will
incur a $5.00 convenience fee
Payment Method: _____ MasterCard _____ Visa _____ DiscoverCard _____ Check
Credit Card Number: ___________________________ Expiration Date: _______ V-code: _______
(3-digit number, not embossed or part of your account number, on the back of your card.)
Print name exactly as it appears on your credit card:
___________________________________________________________
Please sign name as it appears on your credit card to approve this credit purchase:
___________________________________________________________
$100 deposit per camp is required
Camp Total: _______________
Please indicate discount type:
(click for discount information)
Less discount (if applicable): _______________ ___ Family (-$20)
Subtotal: _______________
Total Amount Due: _______________
Amount you're paying now: ______________
_____ Deposit _____ Partial Payment _____ Full Amount
Outside Scholarship/Grant Recipient:
Please indicate the donor(s) and what verification you are submitting.
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