Huntersville Family Fitness & Aquatics


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Huntersville Family Fitness & Aquatics requires the following information and your authorization to charge your credit, debit or checking account for the weeks your child(ren) are attending our program. Child(ren)'s Name: _________________________________________________________________________________ Name as it appears on the card: ____________________________________________________________________ Credit Card Type: q Visa q MasterCard Credit Card # ____________________________________________________________ Name as it appears on Checking Account: ____________________________________________________________ Routing # ________________________________________ Bank Account # __________________________________ * One time annual family registration fee: Registration fee prior to April 1st Member- $20 Non-Member- $40.00 Registration fee prior to May 1st Member- $25.00 Non-Member- $45.00 Registration fee after May 1st Member- $30.00 Non-Member- $50.00 Charge Authorization Form By signing below, I hereby authorize HFFA to charge the above listed credit card or checking account for the non- refundable registration fee, non- refundable 10% deposit and the weeks indicated above for my child(ren) to attend camp. I understand this information is confdential and will be kept as a part of my records. I will notify HFFA if I change fnancial institutions or credit card numbers so that my payment is not delayed. Signature:_______________________________________________________________________ Date:________/________/20______ T/Th • M/W/F • M-F Total $ __________ Lunch Buddies $ __________ 10% of the total weeks $ __________ * Registration fee $ __________ Total due at registration $ __________ Date Example q June 13-17 $____________ q June 13-17 $____________ q June 20-24 $____________ q June 27-July1 $____________ q July 5-8 $____________ q July 11-15 $____________ q July 18-22 $____________ q July 25-29 $____________ q August 1-5 $____________ q August 8-12 $____________ Enter the rate as it applies to your camper by each week that you wish to enroll your camper. 90.00 4 Preschool ½ day camp (ages 3-5) Weekly Preschool Tuition: 9:00 am-12:00 pm Tuesday, Thursday - $54.00 Monday, Wednesday, Friday - $72.00 Monday through Friday - $90.00 Lunch Buddies, addition - 12:00 pm-1:00 pm $5/day if you bring lunch $8/day with lunch provided by us *Ask about our hearty, clean eating lunch options. If you have selected Member Pricing enter your Key Tag # here_____________ 2016 SIZZLIN' SUMMER CAMPS R2

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