Summer Day Camp Enrollment

(if you are attending the afternoon portion of camp
hosted by Mission Bay Montessori Academy you must
follow this link to select your activity and to enroll.)

$139.00 - Due with Enrollment

Chess Camp times are 9am - 12pm

Select Camp Dates:

June 26 - June 30
July 3 - July 7
July 10 - July 14
July 17 - July 21
July 24 - July 28
July 31 - August 4
August 7 - August 11
August 14 - August 18
Purchase a T-Shirt
(T-Shirts will be waiting for you at the camp, price is included in the deposit)

Size of First T-Shirt (additional $18):
Size of Second T-Shirt (additional $18):

Payment Method:

Credit card number:

Exp (mm/yy):

Three Digit Code on the Signature Panel on the back of the card:

NAME (as it appears on credit card):

I approve this application and certify the
applicant(s) capable of such an experience. I grant permission for the
applicant to participate in all camp activities understanding that
competent leadership will be provided. In case of accident the camp is
authorized to secure emergency medical treatment. The camp is not
responsible for lost, stolen or damaged personal articles. I authorize
the camp to have and use photographs, slides and video tapes of the

person(s) names on this application.