EISENBERGS SUMMER CAMP 2007 REGISTRATION
DATES & RATES
Check all that apply
After May 1, Must Pay in Full to Register and Add $20 Late Registration Fee.
DAY CAMP (Mon-Fri 9:00am-3:30pm)
$365 for the first session
Add $315 for each additional week
   OVERNIGHT CAMP
$695 for the first session
Add $645 for each additional week
(Each added week includes 1 extra night in hotel with adult supervision plus 4 meals and an additional group photo. Camp tee not included with additional week)
#1 DAY CAMP: June 18-22  
Registration Closed for Session One		   #1 OVERNIGHT CAMP: June 17-23
Registration Closed for Session One
#2 DAY CAMP: June 25-29    #2 OVERNIGHT CAMP: June 24-30
#3 DAY CAMP: July 2-6   #3 OVERNIGHT CAMP: July 1-7
#4 DAY CAMP: July 9-13
   #4 OVERNIGHT CAMP: July 8-14

PICK A PROGRAM
Make sure you register for the correct program and session dates.
After March 1, 2007, if you need to switch and space is available, a $30 switching fee will apply.
The switching fee will not apply until March 1, 2007.

Skateboard Inline BMX (available 3rd & 4th sessions only)
DISCOUNTS
Check all that apply
WANT TO TAKE ADVANTAGE OF CAMP DISCOUNTS?
Purchase a Membership or Year Pass NOW!

MEMBERSHIP $75 plus tax: Good for one year from purchase date. See Member Benefits
YEAR PASS $500 plus tax: Includes unlimited skating/biking for one year, Special offers
        throughout the year & more! See Year Pass Benefits  
EARLY BIRD DISCOUNTS
Must pay registration in full to take advantage of EARLY BIRD Discounts. All other discounts apply.
20% EARLY BIRD DISCOUNT - Till October 31st
15% EARLY BIRD DISCOUNT - Till November 30st
10% EARLY BIRD DISCOUNT - Till December 31st
5% EARLY BIRD DISCOUNT - Till January 31st

10% MEMBER DISCOUNT - Must be member at time of summer camp
YEAR PASS DISCOUNT - 50% off Day Camp package or $100 off per week of Overnight Camp package.
        No other discounts apply except EARLY BIRD Discounts.
Sibling Discount $25 off Per Session - Take discount on all siblings after the first child registered
SHUTTLE SERVICE
For Campers arriving or departing by air at DFW or Love Field Airport

$35 One Way

$70 Round Trip Service

The following fees may be due later,
if unknown at time of registration:
Add $25 if arrival is before 10AM or after 5PM
        on  Sunday
Add $25 if departure is before 10AM or after 5PM
        on Saturday
CAMPER INFORMATION
Campers First and Last Name:
Mothers Name :
Fathers Name :
Sex:
 Male Female
Birth Date:
Age (at time of event):

For Overnight Camp package, must be 10-17 by first day of camp.

For Day Camp package, must be 8-17 by first day of camp.
Email address:
Address 1:
Address 2:
City:
State:
Zip:
Home Number :
Work Number :
Cell Number:
Fax Number :
Roommate Request:
How did you hear about Eisenbergs Summer Camp?
 Friend eisenbergs.com DB Mag
Ride BMX Mag Skateboarder Mag Mailer
@ Eisenbergs Dallas Morning News
Be-Mag
Other:
Are You a Returning Camper:
Yes No
What is your T-shirt size?
One T-shirt is included in camp package.
You may order additional t-shirts by adding $20 per shirt to your payment.
Indicate sizes and quantities here:
 Youth Small Youth Medium
Youth Large Adult Small
Adult Medium Adult Large
Adult XL
PAYMENT INFORMATION
*REGISTRATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED*
Amount Due:

Sub-Total:
Add 8.25% Sales Tax:
Total Due:
Amount paid:
Balance Due 5/1/07
*REGISTRATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED*
Payment Method:

Total Due:
Card Number:
Expiration Date:
Name on Card:
Billing Address:
Billing City/State/Zip:
PARENT INITIALS
By initialing above, I accept terms of registration, including Refund Policy and Waiver Requirements. Registration will not be accepted without initials.