ONLINE REGISTRATION

EISENBERGS WINTER SKATEBOARD CAMP
December 27, 2007- January 2, 2008

General Information and Schedule
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Check all that apply.           


After December 1, Add $50 Late Registration Fee

ADDITIONAL PURCHASES

MEMBERSHIP $75
Benefits: $50 off Winter Camp, Discounts on Summer Camp and other events, 1/2 price Skating/Biking, Good for one year from purchase date

YEAR PASS $500
Benefits: $100 off Winter Camp; Discounts on Summer Camp and other events; Unlimited Skating/Biking. Good for one year from purchase date.

DISCOUNTS

$50 Member $100 Year Pass $50 Sibling
(Good for all siblings after the first camper registered)

EARLY BIRD SPECIALS
Must pay in full to take advantage of EARLY BIRD SPECIALS

Your Choice of One of the Following:

$200 discount on Overnight Summer Camp 08
$150 off Summer Day Camp 08
$125 Gift Certificate to Pro Shop
- Pay by September 30

$150 discount on Overnight Summer Camp 08
$100 off Summer Day Camp 08
$75 Gift Certificate to Pro Shop
- Pay by October 31

$100 discount on Overnight Summer Camp 08
$50 off Summer Day Camp 08,
$25 Gift Certificate to Pro Shop
- Pay by November 30

The following fees may be due later, if unknown at time of registration

SHUTTLE SERVICE

For Campers arriving or departing by air at DFW or Love Field Airport

$40 One Way
$75 Round Trip Service
Add $25 if arrival is before 10 AM or after 5 PM
Add $25 if departure is before 10 AM or after 5 PM

TOTAL DUE

ADD 8.25% SALES TAX

Eisenbergs will re-calculate and charge you the correct amount with all applicable discounts and taxes.

AMOUNT PAID

$200 Non-Refundable Deposit is required to register.
Balance due in full by December 1, 2007.

BALANCE DUE 12/1/07

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REFUND POLICY

No refunds or credits for any reason including but not limited to injuries.

To register online, fill out this form and submit.

You may also register at the Skatepark.
Helmets and Waivers are required (if not already on file).
Helmets are available to rent in our Pro Shop.

CAMPERS FULL NAME:
SEX:
AGE AT TIME OF EVENT:
MOTHERS NAME
FATHERS NAME
ADDRESS
CITY
STATE
ZIP
EMAIL ADDRESS
HOME NUMBER:
CELL NUMBER:

HOW DID YOU HEAR ABOUT EISENBERGS WINTER CAMP?
PAYMENT INFORMATION
*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.

PAYMENT POLICY: REGISTRATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED.
After December 1, only Credit Cards, Cash, Money Orders or Cashier Check accepted as payment.
REFUND POLICY: No refunds for any reason including injury or poor grades.
WAIVER POLICY: If participant is under 18 and parent is not at Eisenbergs when waiver is signed, parent's signature must be notarized.
PARENT INITIALS: By initialing here, I accept the terms of registration, including Payment Policy, Refund Policy and Waiver Requirements. Registration will not be accepted without initials