2025 Dominion Summer Camp Registration Form (Member)
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1
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9
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Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
1 of 9
Registration
Please Provide Your Member Id*
(Required)
Verified
Continue
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
2 of 9
Parent & Camper Info
Parent Information
Full Name *
(Required)
Phone Number*
(Required)
Second Phone Number
Email*
(Required)
Address*
(Required)
Street Address
City
State*
(Required)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Camper Information
How Many Campers Are You Registering?*
1
2
3
4
Camper Name*
(Required)
Camper Age*
(Required)
Camper Gender*
(Required)
Girl
Boy
Camper #1 Dominant Hand*
(Required)
Right
Left
Camper #1 Immunizations are Current*
(Required)
Yes
No
Camper #1 Medical Information/Special Requests
Camper Name*
(Required)
Camper Age*
(Required)
Camper Gender*
(Required)
Girl
Boy
Camper #2 Dominant Hand*
(Required)
Right
Left
Camper #2 Immunizations are Current*
(Required)
Yes
No
Camper #2 Medical Information/Special Requests
Camper Name*
(Required)
Camper Age*
(Required)
Camper Gender*
(Required)
Girl
Boy
Camper #3 Dominant Hand*
(Required)
Right
Left
Camper #3 Immunizations are Current*
(Required)
Yes
No
Camper #3 Medical Information/Special Requests
Camper Name*
(Required)
Camper Age*
(Required)
Camper Gender*
(Required)
Girl
Boy
Camper #4 Dominant Hand*
(Required)
Right
Left
Camper #4 Immunizations are Current*
(Required)
Yes
No
Camper #4 Medical Information/Special Requests
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
3 of 9
Mighty Muscles
Mighty Muscles Camps
Mighty Muscles Camps
Session 1: June 3-6
Session 2: June 10-13
Session 3: June 17-20
Session 4: June 24-27
Session 5: July 1-4
Session 6: July 8-11
Session 7: July 15-18
Session 8: July 22-25
Session 9: July 29-Aug. 1
Tuesday-Friday, 9am-3pm|Ages 4 to 8*| Pre- and Post-Care Available
Mighty Muscles Session 1
June 3-6
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 1
Mighty Muscles Session 2
June 10-13
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 2
Mighty Muscles Session 3
June 17-20
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 3
Mighty Muscles Session 4
June 24-27
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 4
Mighty Muscles Session 5
July 1-4
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 5
Mighty Muscles Session 6
July 8-11
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 6
Mighty Muscles Session 7
July 15-18
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 7
Mighty Muscles Session 8
July 22-25
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 8
Mighty Muscles Session 9
July 29-Aug. 1
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 9
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
4 of 9
Action Adventure
Action Adventure Camps
Action Adventure Camps
Session 1: June 3-6
Session 2: June 10-13
Session 3: June 17-20
Session 4: June 24-27
Session 5: July 1-4
Session 6: July 8-11
Session 7: July 15-18
Session 8: July 22-25
Session 9: July 29-Aug. 1
Action Adventure Session 1
June 3-6
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 1
Action Adventure Session 2
June 10-13
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 2
Action Adventure Session 3
June 17-20
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 3
Action Adventure Session 4
June 24-27
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 4
Action Adventure Session 5
July 1-4
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 5
Action Adventure Session 6
July 8-11
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 6
Action Adventure Session 7
July 15-18
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 7
Action Adventure Session 8
July 22-25
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 8
Action Adventure Session 9
July 29-Aug. 1
Select Campers for this session
Pre-care: $60/week
Post-care: $100/week
Total Cost Session 9
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
5 of 9
Wimbledon Tennis Plus
Wimbledon Tennis Plus Camps
Wimbledon Tennis Plus Camps
Session 1: June 3-6
Session 2: June 10-13
Session 3: June 17-20
Session 4: June 24-27
Session 5: July 1-4
Session 6: July 8-11
Session 7: July 15-18
Session 8: July 22-25
Session 9: July 29-Aug. 1
Wimbledon Tennis Plus Session 1
June 3-6
Select Campers for this session
Pre-care: $60/week
Total Cost Session 1
Wimbledon Tennis Plus Session 2
June 10-13
Select Campers for this session
Pre-care: $60/week
Total Cost Session 2
Wimbledon Tennis Plus Session 3
June 17-20
Select Campers for this session
Pre-care: $60/week
Total Cost Session 3
Wimbledon Tennis Plus Session 4
June 24-27
Select Campers for this session
Pre-care: $60/week
Total Cost Session 4
Wimbledon Tennis Plus Session 5
July 1-4
Select Campers for this session
Pre-care: $60/week
Total Cost Session 5
Wimbledon Tennis Pluse Session 6
July 8-11
Select Campers for this session
Pre-care: $60/week
Total Cost Session 6
Wimbledon Tennis Plus Session 7
July 15-18
Select Campers for this session
Pre-care: $60/week
Total Cost Session 7
Wimbledon Tennis Plus Session 8
July 22-25
Select Campers for this session
Pre-care: $60/week
Total Cost Session 8
Wimbledon Tennis Plus Session 9
July 29-Aug. 1
Select Campers for this session
Pre-care: $60/week
Total Cost Session 9
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
6 of 9
Junior Golf School
Junior Golf School Camps
Junior Golf School Camps
Session 1: June 3-6
Session 2: June 10-13
Session 3: June 17-20
Session 4: June 24-27
Session 5: July 1-4
Session 6: July 8-11
Session 7: July 15-18
Session 8: July 22-25
Session 9: July 29-Aug. 1
Junior Golf School Session 1
June 3-6
Select Campers for this session
Pre-care: $60/week
Total Cost Session 1
Junior Golf School Session 2
June 10-13
Select Campers for this session
Pre-care: $60/week
Total Cost Session 2
Junior Golf School Session 3
June 17-20
Select Campers for this session
Pre-care: $60/week
Total Cost Session 3
Junior Golf School Session 4
June 24-27
Select Campers for this session
Pre-care: $60/week
Total Cost Session 4
Junior Golf School Session 5
July 1-4
Select Campers for this session
Pre-care: $60/week
Total Cost Session 5
Junior Golf School Session 6
July 8-11
Select Campers for this session
Pre-care: $60/week
Total Cost Session 6
Junior Golf School Session 7
July 15-18
Select Campers for this session
Pre-care: $60/week
Total Cost Session 7
Junior Golf School Session 8
July 22-25
Select Campers for this session
Pre-care: $60/week
Total Cost Session 8
Junior Golf School Session 9
July 29-Aug. 1
Select Campers for this session
Pre-care: $60/week
Total Cost Session 9
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
7 of 9
Golf & Tennis
Golf & Tennis Camps
Golf & Tennis Camps
Session 1: June 3-6
Session 2: June 10-13
Session 3: June 17-20
Session 4: June 24-27
Session 5: July 1-4
Session 6: July 8-11
Session 7: July 15-18
Session 8: July 22-25
Session 9: July 29-Aug. 1
Golf & Tennis Session 1
June 3-6
Select Campers for this session
Pre-care: $60/week
Total Cost Session 1
Golf & Tennis Session 2
June 10-13
Select Campers for this session
Pre-care: $60/week
Total Cost Session 2
Golf & Tennis Session 3
June 17-20
Select Campers for this session
Pre-care: $60/week
Total Cost Session3
Golf & Tennis Session 4
June 24-27
Select Campers for this session
Pre-care: $60/week
Total Cost Session 4
Golf & Tennis Session 5
July 1-4
Select Campers for this session
Pre-care: $60/week
Total Cost Session 5
Golf & Tennis Session 6
July 8-11
Select Campers for this session
Pre-care: $60/week
Total Cost Session 6
Golf & Tennis Session 7
July 15-18
Select Campers for this session
Pre-care: $60/week
Total Cost Session 7
Golf & Tennis Session 8
July 22-25
Select Campers for this session
Pre-care: $60/week
Total Cost Session 8
Golf & Tennis Session 9
July 29-Aug. 1
Select Campers for this session
Pre-care: $60/week
Total Cost Session 9
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
8 of 9
Wimbledon Tennis
Wimbledon Tennis Camps
Wimbledon Tennis Camps
Session 1: June 3-6
Session 2: June 10-13
Session 3: June 17-20
Session 4: June 24-27
Session 5: July 1-4
Session 6: July 8-11
Session 7: July 15-18
Session 8: July 22-25
Session 9: July 29-Aug. 1
Wimbledon Tennis Session 1
June 3-6
Select Campers for this session
Pre-care: $60/week
Total Cost Session 1
Wimbledon Tennis Session 2
June 10-13
Select Campers for this session
Pre-care: $60/week
Total Cost Session 2
Wimbledon Tennis Session 3
June 17-20
Select Campers for this session
Pre-care: $60/week
Total Cost Session 3
Wimbledon Tennis Session 4
June 24-27
Select Campers for this session
Pre-care: $60/week
Total Cost Session 4
Wimbledon Tennis Session 5
July 1-4
Select Campers for this session
Pre-care: $60/week
Total Cost Session 5
Wimbledon Tennis Session 6
July 8-11
Select Campers for this session
Pre-care: $60/week
Total Cost Session 6
Wimbledon Tennis Session 7
July 15-18
Select Campers for this session
Pre-care: $60/week
Total Cost Session 7
Wimbledon Tennis Session 8
July 22-25
Select Campers for this session
Pre-care: $60/week
Total Cost Session 8
Wimbledon Tennis Session 9
July 29-Aug. 1
Select Campers for this session
Pre-care: $60/week
Total Cost Session 9
Registration
Parent & Camper Info
Mighty Muscles
Action Adventure
Wimbledon Tennis Plus Full Day
Junior Golf School
Golf & Tennis
Wimbledon Tennis Half Day
Payment
9 of 9
Payment
Camp Payment
Total Camp(s) Cost
Total Cost Pre and Post Care
Total Amount Due
Signature
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Release of Liability
The Dominion cannot be held responsible for personal property, illness, or accident occurring either at or away from The Dominion. If an illness or accident should occur, The Dominion has our permission to obtain emergency medical care by qualified medical personnel for your child(ren).
Authorization*
(Required)
I agree with the terms and conditions of camp enrollment
Non Refundable Fee*
(Required)
I understand $100 of the tuition is non-refundable
Payment Method
(Required)
Pay with Member Account
Pay with Credit Card
Credit Card
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Signature
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