SOAC Kids 2019 F.A.S.T. CAMP Membership TypeFull Day/WKHalf Day/WK SOAC Member$190$120 Green Trails Member$200$130 NonMember$210$140 Daily Drop in Rate $45 Member and $55 Nonmember/GreenTrails *Your Account or Credit Card Will Be Charged The Week Prior To Attendance* SOAC FAST Camp Parent's Name* First Last Phone*Email* Address (non-members Only) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Child 1 Name* First Last Age*Half Day or Whole Day*Half DayWhole DaySwim Team Practice During Camp Time(if applies)*YesNoChild 2 Name First Last AgeHalf Day or Whole DayHalf DayWhole DaySwim Team Practice During Camp Time(if applies)YesNoChild 3 Name First Last AgeHalf Day or Whole DayHalf DayWhole DaySwim Team Practice During Camp Time(if applies)YesNoSession(s) Requested* June 3-7 June 10-14 June 17-21 June 24-28 July 8-12 July 15-19 July 22-26 Wavier*I agreeI disagreeBy Clicking "I agree" above, I acknowledge every Member, family member, and guest using the Club’s facilities does so at his or her own risk, and the Club is not responsible for any injuries occurring to such persons. The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the Southern Oaks Athletic Club (SOAC) Camp activities and agrees to waive, release and discharge from any liability, loss, cost, claim, or damage whatsoever Southern Oaks Athletic CLUB and its owners, employees, and agents which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian. Furthermore, I agree to indemnify and hold harmless the entities or persons mentioned above from any and all liabilities or claims relating to or arising out of their use of the Club’s facilities and participating in the activities and events. Wavier*I agreeI disagreeI grant to Southern Oaks Athletic Club (SOAC), its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize SOAC, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Southern Oaks Athletic Club may use such photographs of my child with or without their name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.Membership Type*SOAC Member (Child must be on membership)Green Trails Member (+$10 fee)Non-Member (+$20 fee)Payment Method*SOAC AcountNon-Member(must pay one week prior to start date either by check or Credit Card)Special Notes This iframe contains the logic required to handle Ajax powered Gravity Forms.