PLEASE READ AND SIGN: I hereby authorize the Director of Competitorís Edge Field Hockey Camp to act for me according to their best judgement in any emergency medical attention. Enclosed find a check of $200.00 or credit card information in the amount stated above as a deposit to reserve a space for my daughter. When using credit card, payment in full is preferred. I understand this reservation deposit is non-refundable after July 1, 2021. I understand that a $40.00 processing fee is non-refundable under any circumstance. With insufficient funds or credit decline a surcharge of $50.00 will be applied. Full payment must be received by June 1, 2021. If applying after May 15, 2021, please submit payment in full. Application deadline is July 10, 2021. If you have not received
confirmation within one month of mailing application, please email us at
firstname.lastname@example.org or call the camp phone at 973-443-8045.
>>ALL DISCOUNT RATES WILL BE APPLIED TO THE FINAL BALANCE<<
Signature of Parent (required)__________________________________________________________________
Make Checks payable to: COMPETITOR’S EDGE