Summer Camp
Pre-Registration
Pre-registration Form
Summer Camp
Heritage Isles
July 23 - July 27
June 25 - June 29
May 29 - June 1
Tampa Palms
July 30 - Aug. 3
July 2 - July 6 (Closed July 4)
June 4 - June 8
Grand Hamptons
Aug. 6 - Aug. 10
July 9 - July 13
June 11 - June 15
Aug. 13 - Aug. 17
July 16 - July 20
June 18 - June 22
Today's
Date
Please complete the following application. Do not leave any space blank. If a space does
not apply to you please enter N/A. Thank you.
2008 Summer Camp
Parents Name
Email        example tom@aol.com
Last
 First
Parents Name
Email        example tom@aol.com
Last
 First
Child's Name
 Age
Last
 First
Age
Last
 First
Age
Last
 First
Age
Last
 First
Address
Street
 City
State
Zip
Phone
Work
Home
 Cell
Area Code
 Area Code
 Area Code
Emergency
Contact
Home
Area Code
Last
 First
Someone other than yourself we can contact in case of emergency.
Child's shirt size
 Child's shirt size
YL
S
M
L
XL
XXL
Child's shirt size
 YL
S
M
L
XL
XXL
 YL
S
M
L
XL
XXL
Child's shirt size
YL
S
M
L
XL
XXL
Upon completion of this application a $150.00 deposit is required to
register your child. (first week and registration fee) This will
guarantee your discount and secure your child's spot. Please send
check or money order to:               
                                                          
Make check payable to:     PROtential Sports
                                     19046 Bruce B Downs Suite 83
                                     Tampa FL 33647

Or pay with Credit Card after submitting information
Please review your
answers and make
sure every space is
filled. Then submit.
2008
Please check the weeks your child will be attending. The registration system is based on a first come first serve basis
with limited space available. Please check all weeks your child will be attending. Thank You
Sports Summer Camp
Monday -Friday 9am to 5pm
7am to 9am & 5pm to 6:30pm
(requires extra fee)