Future Stars Camp Application 2007 - Purchase College  
546 Bedford Road  Armonk NY 10504 Ph: (914) 273-8500  Fax: (914) 273-8506 
 

First Name

Last Name

Address                                                                         City                                                        State                Zip

Sex

 

Birthdate

 

School

Grade (fall ’07)

Home Phone

Email

Summer Address

 

Summer Phone

Mother Name

                                    Work #

 Cell

Father Name

                                   Work #

 Cell
             


 

 

 

 

 

 

T-Shirt Size:           Junior   rS      rM     rL      Adult    rS      rM     rL      rXL
Level (Novice, Some Experience, Recreational, Competitive, Varsity/Travel):

Tennis __________                     Basketball________          Softball _________   Field Hockey _____
Soccer __________                     Baseball_________          Lacrosse   _______         Volleyball   _______

PURCHASE COLLEGE
Please Check Desired Session

Prices Based
on # Wks Enrolling
2-4          5+

6/11
to
6/15

6/18
to
6/22

6/25
to
6/29

7/2
to
7/6

7/9
to
7/13

7/16
to
7/20

7/23
to
7/27

7/30
to
8/3

8/6
to
8/10

8/13
to
8/17

Baseball Camp

$495       $470

NA

 

 

 

 

 

 

 

 

 

Basketball Camp

$495       $470

 

 

 

 

 

 

 

 

 

 

Circus Arts Camp

$1080/ Session

N

A

 

 

 

 

 

 

 

 

Lacrosse Camp

$495       $470

NA

 

 

 

 

 

 

 

 

 

Soccer Camp

$495       $470

 

 

 

 

 

 

 

 

 

 

Girls Sports Academy

$495       $470

 

 

 

N

A

 

 

 

 

 

Sports & Computer Camp

$540       $515

NA

 

 

 

 

 

 

 

 

 

Tennis Camp

$625     $600

 

 

 

 

 

 

 

 

 

 

Magic Camp

      $495

N

A

 

 

 

 

N

A

 

 

Enclosed is my deposit of $250 per week  # of Weeks ____ x $250 Totaling $_____
Discounts: rSibling $25/wk    rEarly enrollment  $20/wk (not valid after 1/31/07)  *Discounts applied per session for Circus
Transportation: Westchester/CT ($140/wk) rY  rN   Manhattan ($175/wk) rY rN   Lunch ($50/week): rY  rN

Please charge my credit card:  Mastercard   Visa

Name ____________________________Card no. ______________________________ Exp date ___/___
Please Make Checks payable to: Future Stars   546 Bedford Road,  Armonk, NY 10504   fax 914-273-8506

As parent or guardian of the applicant, I hereby accept the condition of enrollment and give permission for my child to participate in the Future Stars Program. I agree to comply with all program regulations, and hereby remove campsite staff, management, Future Stars Tennis LLC, and SUNY, Purchase College,  from any and all liability for injury or damages incurred while involved in this program. Future Stars Tennis LLC retains the rights to any photographs or video tapes of the campers taken at camp to be used for publicity or advertising. I understand that as of April 1st 2007 ALL balances will be charged in full and cancellations are non refundable.

 Signature ______________________________________________            Date _____________