IMPORTANT! YOU WILL NEED OUR STANDARD FORMS AND  INFORMATION FOR CAMP.
PLEASE OPEN THIS PDF DOCUMENT , READ IT CAREFULLY, FILL OUT THE FORMS AND BRING THEM WITH YOUR CHILD ON THE  FIRST DAY OF CAMP.

Parent's Name : ___________________________________________________________

Camper's Name : ______________________________ Age : _____ Male / Female

Address : _________________________________________________________________

City : __________________________________________________ Zipcode : __________

Residence Phone : ______________________________

Business Phone : _______________________________

Please mark which session you would like to register for:

# Full-Day Weeks _____ x $195 = $__________
# Half-Day Weeks _____ x $145 = $__________
# Days of Extended Camp _____ x $15 = $__________
Multi-Child Discount (if applicable) = $__________
Multi-Session Discount (if applicable) = $__________
TOTAL DUE $__________

Check #________________

MC or VISA #__________________________________________ Exp____________

Where did you hear about our program?
_____________________________________________________________________

TO REGISTER PLEASE FAX  THIS FORM WITH YOU CC# TO 310-684-5685,
OR MAIL TO: 

Mountain & Sea Educational Adventures
ATTN: Day Camp Reservations
P.O. Box 950
San Pedro, CA 90733
PHONE:  310-427-7845
FAX:  310-684-5685