Camp Registration Form

Please print out and mail this form with your payment.

*Full tuition is $295.00

*$50 deposit (nonrefundable) due with this registration form.

*$245 balance of tuition is due at the latest 14 days prior to the beginning of Camp

Camp Title and dates:

______________________________________________________________________

Name: ______________________________________________________________________

Mailing Address: ______________________________________________________________________

______________________________________________________________________

E-mail: _________________________________________

Phone: (day) ______________(evening)______________Fax:______________

Player Level: ___Beginner    ___Intermediate   

Dietary considerations: ___Omnivore    ___Vegetarian    ___Vegan

Total enclosed (check only one): _____Deposit only: $50 __Full Tuition: $295 _____ 

Tuition Balance: $245_____(deposit already paid)

________________________________________________________________________________

Please make payment by check or money order made out to "Yoko Hiraoka"

Print out and mail this Registration Form with payment to:

Yoko Hiraoka

2471 Franklin Ave.

Louisville, Colorado 80027 USA

 

Cancellation Policy: Cancellations received earlier than 14 days prior to the first day of camp will receive a refund of tuition costs minus a $50 Administrative Fee. We will be unable to offer refunds for any cancellations received within 14 days prior to camp beginning.

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______________________________________________________________________

Name: ______________________________________________________________________

Mailing Address: ______________________________________________________________________

______________________________________________________________________

E-mail: _________________________________________

Phone: (day) ______________(evening)______________Fax:______________

Player Level: ___Beginner    ___Intermediate   

Dietary considerations: ___Omnivore    ___Vegetarian    ___Vegan