Summer Camp Registration Form for Surge Athletics MD

Summer Camp Registration Form for Surge Athletics MD

Summer Camp Registration Form for Surge Athletics MD

Please fill out this form to register for summer camp.
Camper's Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Does the camper have any allergies or medical conditions? If so please list.
Please list any medications the camper will need during camp.
I authorize Surge Athletics MD staff to seek emergency medical treatment if necessary.*

YesNo

Camp Surge Summer 2026 *
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Weekly Registration
Weekly Summer Camp Registration

Registration is for the 1 week only. Spots are limited!

$150.00 Quantity



2 Weeks Registration
2 Weeks Summer Camp Registration (June 29 – July 10)

Register & take advantage of our discounted bundle rate for two weeks of camp! More fun and more savings! Spots are limited.

$275.00 Quantity



3 Week Registration
3 Weeks Summer Camp Registration (June 29 – July 17)

Register & take advantage of our discounted bundle rate for three weeks of camp! More fun and more savings! Spots are limited.

$375.00 Quantity



4 Weeks Registration
4 Weeks Summer Camp Registration (June 29 – July 24)

Register & take advantage of our discounted bundle rate for four weeks of camp! More fun and more savings! Spots are limited.

$500.00 Quantity



5 Weeks Registration
5 Weeks Summer Camp Registration (June 29 – July 31)

Register & take advantage of our discounted bundle rate for the full five weeks of camp! More fun and more savings! Spots are limited.

$625.00 Quantity



Total

$0.00

Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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