EHT PAL Camper Registration

  1. Fill out the information below to register online for any EHT PAL Camp.

    Items marked with an asterisk (*) must be filled in to submit.

  2. Parent or Guardian Contact Information

  3. Parent/Guardian Name(*)
    Please let us know your name.
  4. Your Email(*)
    Please let us know your email address.
  5. Address(1)(*)
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  6. Address (2)
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  7. City/State(*)
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  8. Zip Code
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  9. Phone(*)
    You must enter a valid phone number in xxx-xxx-xxxx format
  10. The Director reserves the right to withdraw any child or camper whose influence or actions are deemed harmful or who will not abide to the rules and policies of the school or camp.  In the event of dismissal or withdrawal, there will be no refunds. 

    I, the parent/guardian, give permission, for my son/daughter to participate in EHT PAL's Preschool and Camp.

    I assume all risks and hazards incidental to such participation, including transportation to and from activities.  I do hereby waive, release, absolve and indemnify and agree to hold harmless the Egg Harbor Township Police Department, the Egg Harbor Township Police Athletic League, its organizers, sponsors, supervisors, participants, and persons transporting my child, and all claims arising out of any injury to my child, whether the result of negligence or for any other cause. 

    It is understood that signing this form indicates I have this read form and I understand and fully agree with the statements made. 

  11. You must agree to these terms before you can submit this registration form.(*)
    You must check the box attesting that you have read the terms of service and agree to them before you can submit this form.
  12. Child's Name:(*)
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  13. Child's Age:(*)
    Must enter child's age
  14. Child's Date of Birth:
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  15. Child's Grade as of Fall this year(*)
    Enter the grade your child will be in for fall of this calendar year.
  16. Child's T-Shirt Size:(*)
    You Must Select a T-shirt size.

  17. Choose Your Camp Weeks or Days You'd Like To Pay For Below

  18. All campers/families must pay the yearly, mandatory registration fee before attending any EHT PAL Camp.
    If you have already paid your annual registration fee for this year you do not have to select "Yes" on this field a second time.
  19. Annual $50 Registration Fee
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  20. NOTICE:  

    To register for days other than the options listed here, please contact the PAL Office at:

    (609)645-8413 or (609)646-9586

  21. Fall Fun Days 2017:

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  22. Winter Break Camp 2017:

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  23. Spring Mini-Camp 2018:

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  24. Does your child have any allergies we should be aware of?(*)
    You must verify whether or not your child has allergies before proceeding.
  25. Additional Information
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  26. Does your child have any special needs?(*)
    Please confirm whether or not your child has special needs before submitting this form.
  27. Please describe your child's special condition below:
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  28. Does your child require a one-on-one aid during the normal school year?(*)
    Please confirm whether or not your child requires one on one care
  29. Is your child confined to a self-contained classroom during the school year?(*)
    Please confirm whether or not your child is confined to a self-contained classroom during the school year
  30. Does your child attend a special needs school?(*)
    Please confirm whether or not your child attends a special needs school.
  31. I give EHT PAL permission to use my child's image or photo for promoting EHT PAL related activities.
  32. (*)
    You must confirm whether or not we can use your child's image in our marketing and brochures
  33. Anti-SPAM(*)
    Anti-SPAM RefreshPlease copy the anti-spam text correctly before submitting
  34. NOTE: You must complete the PayPal payment portion of this registration before we can honor this submission."

    Receiving an email transcript is not proof of payment as it runs on a different system.

  35. Your Total
    0.00 USD
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