Mainland Sports Complex Summer Camp Registration Form

8002 Sand Pebble San Antonio, TX 78250

210-200-8511

Child Last Name Child First Name

Sex: M F

DOB: Parent/Guardian Last Name Parent/Guardian First Name Mailing Address City Zip Primary Phone Number Email

Select dates: June 18 - 22 June 25 - 29
Select time: Half day (8am - 12pm) Full day (8am - 4pm)

Special Requests (Optional) Dollar amount of payment (Do not enter decimal)

Registration Fee: $175 for half day or $300 for full day

Other payment methods include by phone or in person

Billing Address Billing Zip Code Credit Card Number Expiration Month Expiration Year Card Verification Number I authorize Mainland Sports Complex to charge my credit card the amount I have entered above for this registration

Mainland Sports Complex Summer Camp Registration Form

8002 Sand Pebble San Antonio, TX 78250

210-200-8511

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Mainland Sports Complex

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