Class Signup : Pets Lifeline Summer Camp 2010
  * Indicates Required Fields
Sign Up For - Pets Lifeline Summer Camp - $110.00
Parent First Name *
Parent Last Name *
Parent Email *
Phone
Number of Children to Attend
(limited to campers ages 7 to 11)
(reduced rate for 3 or more children)
Child 1 Full Name *
Child 1 Age *
Child 2 Full Name
Child 2 Age
Child 3 Full Name
Child 3 Age
List Additional Children Names and Ages
Check the week or weeks you would like your children to attend.
Fees are $110 per child per week.
June 14 thru June 18 - $110
June 21 thru June 25 - $110
June 28 thru July 2 - $110
July 5 thru July 9 - $110
July 12 thru July 16 - $110
July 19 thru July 23 - $110
July 26 thru July 30 - $110
August 2 thru August 6 - $110
August 9 thru August 13 - $110
August 16 thru August 20 - $110
How did you hear about our Summer Camp?
Enter any special needs such dietary restrictions here.
Notes

Waiver and Consent

I hereby waive, release, and discharge Pets Lifeline from all liability in case of accident or injury as a result of participation in Pet’s Lifeline’s Summer Camp Program. It is understood that there are risks associated with some recreational activities and the handling of animals; and knowing those risks, I hereby assume those risks.

I give my consent for my child or children listed above to participate in PLL’s Summer Camp Program, and I execute the above liability release on their behalf.

Parent Signature (type your full name) *
I Have Read and Agree to the Waiver and Constent *
This is a captcha-picture. It is used to prevent mass-access by robots. (see: www.captcha.net)
Enter the Above Validation Code

Pets Lifeline Animal Shelter | PO Box 341 | 19686 8th Street East | Sonoma, CA 95476 | 707-996-4577 | Powered by WildFireWeb  Log In
Username Password

Forgot Password?