The program rents Harvard facilities and is not sponsored by Harvard
University. Harvard is not able to exercise supervision or control over the
activities of CompleteSquash at Harvard
My child is required to provide his/her own equipment that is in good
condition and adequate for the uses required for her/his participation in the
program.
I understand that lost equipment and personal belongings are not the
responsibility of CompleteSquash at Harvard.
I will instruct my child to obey the rules of CompleteSquash at Harvard.
If my child disobeys the camps rules, I agree that my child may no longer be
able to participate in the program and that my fees paid for attending
CompleteSquash at Harvard will not be refunded.
My child is physically able to participate in the program and has no medical
condition which could effect his/her participation.
My child’s primary care physician is and can be reached at the following
telephone number
My child has the following allergies
I have attached a medical questionnaire to this application and state that it is
true and complete.
I grant CompleteSquash at Harvard the right:
a) to take appropriate actions for my child’s health and safety.
b) to obtain any necessary medical assistance.
c) to use photos of my child(ren) in camp publications.
I will be fully responsible for all medical expenses incurred by my child while
attending the program.
My child is covered by health insurance, my policy/reference/subscriber
number is
(We) have read and freely signed this agreement which shall take effect as a
sealed instrument:
Parent / Guardian signature
Printed name
Alternative Contact if parent is not available
Work telephone
Home
CompleteSquash, P.O Box 380231, Cambridge, MA 02238.
CompleteSquash camp is governed by regulations of Massachusetts.
Department of Public Health (105 CMR 430-000), and is licensed by the Boston
Board of Health.
Information on 105 CMR 430-000 can be obtained at (617) 983-6761.
Registration
Summer Camps @ Harvard
2010
Choose Camp
Day camper
Boarder
Weekend Stay Optional
Adult Squash Camp Week 1: July 13-15, & 17 2010
$ 399
Adult Squash Camp Week 2: July 20-22 & 24 2010
$ 399
Adult Squash Camp Week 1 & 2
$ 599
Squash Basics Week July 11 - 16 2010
$ 1,099
$ 1,199
$ 150
Elite Week July 18 - 23 2010
$ 1,499
$ 1,599
$ 150
2 Week Special July 11 - July 23, 2010
$ 2,099
$ 2,299
$ 150
Name
Sex
Address
City
State
Zip
Age
Rank National / School
Parents / Guardian
School
Day Phone
Evening
E- Mail
Camp Rates
Day camper
Boarder
Weekend Stay Optional
Deposits
Adult Squash Camp Week 1: July 13-15, & 17 2010
$ 399
Adult Squash Camp Week 2: July 20-22 & 24 2010
$ 399
Adult Squash Camp Week 1 & 2
$ 599
Squash Basics Week July 11 - 16 2010
$ 1,099
$ 1,199
$ 150
$ 500
Elite Week July 18 - 23 2010
$ 1,499
$ 1,599
$ 150
$ 500
2 Week Special July 11 - July 23, 2010
$ 2,099
$ 2,299
$ 150
$ 1000
Airport transfer if needed: $75 each way
Please fill in the required information and include
deposit as stated above and mail this form to
Complete Squash, P.O Box 380231 Cambridge, MA 02238 by June 1st, 2010.
Make check payable to Complete Sports Solutions. All deposit/s are non-refundable after May 1, 2010
