SUMMER CAMP 2008 REGISTRATION
 Summer Camp 07 Photos
Summer Camp 08 Webpage
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)
EVENT TYPE
OVERNIGHT CAMP
#1 DAY CAMP: June 16-20 - $380
Skateboard Only
 #1 OVERNIGHT CAMP: June 15-21 - $720
#2 DAY CAMP: June 23-27 - $365
Skateboard Only
 #2 OVERNIGHT CAMP: June 22-28 - $695
#3 DAY CAMP: June 30 - July 4 - $350
Skateboard, Inline, BMX
 #3 OVERNIGHT CAMP: June 29- July 5 - $670
#4 DAY CAMP: July 7-11 - $380
Skateboard, Inline, BMX
 #4 OVERNIGHT CAMP: July 6-12 -$720

PICK A PROGRAM
Make sure you register for the correct program and session dates.
After March 1, 2008, if you need to switch and space is available, a $30 switching fee will apply.
The switching fee will not apply until March 1, 2008.

Skateboard Inline BMX
( Inline and BMX available 3rd & 4th sessions only)
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  

DISCOUNTS - Check all that apply

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 by first day of camp.

For Day Camp package, must be 8 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 ONE 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.
For additional t-shirts
add $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*
Camp Fees:

Discounts:

Additional Purchases:

Sub-Total:
Add 8.25% Sales Tax:
Total Due:
Amount paid:
 (Minimum $200 deposit required to register)
Balance Due 5/1/08
*REGISTRATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED*
Payment Method:

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.