Camp Hours Rate Swim Camp 11am-2pm $325 SELECT WEEK(S)April 6-10 (Full)June 8-12 (Full)June 15-19 (Full)June 22-26 (Full)June 29-July 3 (Full)July 6-10 (Full)July 13-17 (Full)July 20-24July 27-31Aug 3-7 (Full) *Cancellation fee: $75/per child/per week Parent(s) Names or Legal Guardian *Email Address *Address *City *ZIP *Primary Contact Phone *0 / 10Alternate Phone *0 / 10Camper Last Name *First Name *Age *Select age56789101112EPIPEN *Select OptionNoYesWater Safe *Select OptionNoYesMEDICAL CONCERNS/ALLERGIES *Camper Last NameFirst NameAge *Select age56789101112EPIPEN *Select OptionNoYesWater Safe *Select OptionNoYesMEDICAL CONCERNS/ALLERGIES *Camper Last NameFirst NameAge *Select age56789101112EPIPEN *Select OptionNoYesWater Safe *Select OptionNoYesMEDICAL CONCERNS/ALLERGIES *Camper Last NameFirst NameAge *Select age56789101112EPIPEN *Select OptionNoYesWater Safe *Select OptionNoYesMEDICAL CONCERNS/ALLERGIES *Signature *Start signing your signature hereYour browser does not support e-Signature field.Date *Balance DueChoose Payment Method *Pay with Zelle (After form submission)Pay with Credit Cards (3% extra charges)Have Coupon Code?Apply $50/Week Per Camper.Apply $25/Week Per Camper.CalculationsCredit / Debit Card *Consent *It is my intent to place my child as a participant in Pacific Swim Camp run by Pacific Swim Team. These include any activity during instruction, break times, any pre-activity or post- activities at Rancho Arbolitos that I am agreeable to the following:I am aware of and willing to assume the risks associated with this activity, I hereby voluntarily agree to waive, hold harmless, indemnify and not sue Rancho Arbolitos or Pacific Swim and its trustees, agents, volunteers and employees from any and all claims, demands, damages and causes of action of any nature whatsoever arising out of ordinary negligence which I, my heirs, my assigns or successors may have against them for, on account of, or by reason of my participation in the above activities. I also give consent for the above named to participate in all events conducted by Pacific Swim and agree not to hold Rancho Arbolitos or Pacific Swim or any employee/representative liable for any personal injury, loss, or damage to private property or loss of life. If the contact cannot be reached in an emergency, I authorize any coach or representative of the Club to obtain emergency care by a professional. Also, photographs, records, and memories from our programs may be used for social media and promotion. To opt out, email [email protected] . By signing, I agree to the above terms:Submit