San Diego Camp: Session 2 Registration

This application provides you with an exclusive opportunity to enroll your child(ren) or yourself for San Diego Camp: Session 2 (July 23rd - July 28th, 2017). Please complete the online application, and send a $300.00 deposit per person within 14 days from the submission date. If family or group discounts apply, they will be applied against the remaining balance owed and will be confirmed via email.

Please Note: Due to the instructor-to-camper ratio for our regular weekly sessions, we are unable to accomodate families of children on the Autism spectrum and can only offer one-to-one instruction for our Isaiah's Autism Family Camp option.

Camper Information
Please note ANY special information that we should be aware of, i.e. medical issues, required medication, allergies, and special needs with regards to diet, special social or physical needs:
$ per person
A 5% family discount is given to all families enrolling two or more children. This discount applies to each child enrolled after the first in your immediate family. A 5% group discount is also available for each member of a group of four or more campers. Discount will be applied to remaining balance owed after deposit is received.
2nd Camper
$ per person (5% discount applied)
3rd Camper
$ per person (5% discount applied)
4th Camper
$ per person (5% discount applied)
Insurance Information
Physician Information
Mother's Information
Father's Information
Emergency Contact
Child Information

Parents/Guardians - Please accept 'Assumption of risk and release waiver

On behalf of my child, I accept and assume any and all risks associated with his/her attendance and participation in the camp and its activities. I understand that my child should not attend the camp if he/she is not healthy. I understand that my child must abide by camp policies and the instructions of the camp staff. I agree that should my child be dismissed from camp no part of my tuition will be refunded. I understand that no reduction in the tuition will be made for late arrival, early departure, vacations, illness or injury. In the event that I can not be contacted in an emergency, I hereby grant PSC. (PSC) permission to give immediate treatment and/or take my child to a hospital emergency room. Permission is hereby granted for photographs and/or videos to be taken of my child at camp and PSC has the right to utilize these in our brochures, videos, slide shows, web site, and other camp materials. Permission is also granted for my child (if enrolled in Surf Camp) to attend all scheduled field trips. Knowing these facts and in consideration for your accepting my child's application, I, for myself, my child attending the camp, and anyone else who might claim on my or my child's behalf ("I"), hereby agree that neither PSC are responsible for accidents, injuries, and/or medical or dental expenses arising from my child's participation in the camp and, accordingly, I covenant not to sue, and waive, release, and discharge PSC, and anyone working on their behalf from any and all claims of liability or expenses of any kind or nature whatsoever arising out of or relating to my child's participation in the camp. I have carefully read all of the information in this application form and agree to all conditions.