Test Form 2 2025 Dominion Summer Camp Registration Form (Guest) (TEST 2) Step 1 of 8 12% Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 1 of 8 Parent & Camper Info Parent InformationFull Name *(Required)Phone Number*(Required)Second Phone NumberEmail*(Required) Address*(Required) Street Address City*(Required)State*(Required)AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code*(Required)Camper InformationHow Many Campers Are You Registering?*1234Camper 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 RequestsCamper 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 RequestsCamper 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 RequestsCamper 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 Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 2 of 8 Mighty Muscles Mighty Muscles CampsMighty 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 AvailableMighty Muscles Session 1 June 3-6Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 1Mighty Muscles Session 2 June 10-13 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 2Mighty Muscles Session 3 June 17-20 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 3Mighty Muscles Session 4 June 24-27 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 4Mighty Muscles Session 5 July 1-4 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 5Mighty Muscles Session 6 July 8-11 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 6Mighty Muscles Session 7 July 15-18 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 7Mighty Muscles Session 8 July 22-25 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 8Mighty Muscles Session 9 July 29-Aug. 1 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 9 Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 3 of 8 Action Adventure Action Adventure CampsAction 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 sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 1Action Adventure Session 2 June 10-13 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 2Action Adventure Session 3 June 17-20 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 3Action Adventure Session 4 June 24-27 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 4Action Adventure Session 5 July 1-4 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 5Action Adventure Session 6 July 8-11 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 6Action Adventure Session 7 July 15-18 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 7Action Adventure Session 8 July 22-25 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 8Action Adventure Session 9 July 29-Aug. 1 Select Campers for this sessionPre-care: $60/weekPost-care: $100/weekTotal Cost Session 9 Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 4 of 8 Wimbledon Tennis Plus Wimbledon Tennis Plus CampsWimbledon 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 sessionPre-care: $60/weekTotal Cost Session 1Wimbledon Tennis Plus Session 2 June 10-13 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 2Wimbledon Tennis Plus Session 3 June 17-20 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 3Wimbledon Tennis Plus Session 4 June 24-27 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 4Wimbledon Tennis Plus Session 5 July 1-4 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 5Wimbledon Tennis Pluse Session 6 July 8-11 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 6Wimbledon Tennis Plus Session 7 July 15-18 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 7Wimbledon Tennis Plus Session 8 July 22-25 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 8Wimbledon Tennis Plus Session 9 July 29-Aug. 1 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 9 Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 5 of 8 Junior Golf School Junior Golf School CampsJunior 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 sessionPre-care: $60/weekTotal Cost Session 1Junior Golf School Session 2 June 10-13 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 2Junior Golf School Session 3 June 17-20 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 3Junior Golf School Session 4 June 24-27 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 4Junior Golf School Session 5 July 1-4 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 5Junior Golf School Session 6 July 8-11 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 6Junior Golf School Session 7 July 15-18 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 7Junior Golf School Session 8 July 22-25 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 8Junior Golf School Session 9 July 29-Aug. 1 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 9 Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 6 of 8 Golf & Tennis Golf & Tennis CampsGolf & 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 sessionPre-care: $60/weekTotal Cost Session 1Golf & Tennis Session 2 June 10-13 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 2Golf & Tennis Session 3 June 17-20 Select Campers for this sessionPre-care: $60/weekTotal Cost Session3Golf & Tennis Session 4 June 24-27 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 4Golf & Tennis Session 5 July 1-4 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 5Golf & Tennis Session 6 July 8-11 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 6Golf & Tennis Session 7 July 15-18 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 7Golf & Tennis Session 8 July 22-25 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 8Golf & Tennis Session 9 July 29-Aug. 1 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 9 Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 7 of 8 Wimbledon Tennis Plus Wimbledon Tennis CampsWimbledon 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 sessionPre-care: $60/weekTotal Cost Session 1Wimbledon Tennis Session 2 June 10-13 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 2Wimbledon Tennis Session 3 June 17-20 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 3Wimbledon Tennis Session 4 June 24-27 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 4Wimbledon Tennis Session 5 July 1-4 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 5Wimbledon Tennis Session 6 July 8-11 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 6Wimbledon Tennis Session 7 July 15-18 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 7Wimbledon Tennis Session 8 July 22-25 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 8Wimbledon Tennis Session 9 July 29-Aug. 1 Select Campers for this sessionPre-care: $60/weekTotal Cost Session 9 Select Member or Guest Parent & Camper Info Mighty Muscles Action Adventure Wimbledon Tennis Plus Full Day Junior Golf School Golf & Tennis Wimbledon Tennis Half Day Payment 8 of 8 Wimbledon Tennis Plus Camp PaymentTotal Camp(s) CostTotal Cost Pre and Post CareProduct Name Price: $50.00 Total Amount Due 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 Please go back and select at least one camp. You will not be able to check out until you do so.Credit Card