Outta Bounds Events Inc.
"Enriching the lives of families and children in
 the community by providing quality activities,
 camps and events for school-age youth."

     
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Camp Address
Potocki Conference Center
27301 La Paz Road
Mission Viejo, CA 92692

Phone Number
877-OBE-CAMP

Tax ID
26-4140792

 

Summer Camp Registration Form
 

Please fill out and submit this form.

One child per form please.

Parent or Guardian First Name:
Parent or Guardian Last Name:
Home Address:
City:
State:
Zip Code:
Contact Phone Number:

Ph. Type:
Contact Email:

Child's First Name:
Child's Last Name:
Child's Age:

Child's Date of Birth:

T-shirt size:

How did you hear about our program?

Other or family who referred you:

Child's School:

Check each session your child will attend.
Also check if your child will need AM or PM extended hours.
(Tuition is not due at this time.)
5 day
week
$195		 3 day
week
$150

Dates

 AM Hours
7:30AM - 8AM
$5 per wk		 PM Hours
5PM - 6PM
$10 per wk
Session 1 06/28/10 – 07/02/10

Session 2

07/05/10 – 07/09/10

Session 3

07/12/10 – 07/16/10

Session 4

07/19/10 – 07/23/10

Session 5

07/26/10 – 07/30/10

Session 6

08/02/10 – 08/06/10
Session 7

08/09/10 – 08/13/10

Session 8

08/16/10 – 08/20/10
Session 9

08/23/10 – 08/27/10

Session 10

08/30/10 – 09/03/10
Session 11 09/07/10 – 09/10/10

If you are signing up for a three day week, please choose your days below

Mondays
 		Tuesdays
 		Wednesdays
 		Thursdays
 		Fridays


Both the submission of this form,
and payment of the $50 registration fee,
are required to complete your registration.

You will be taken to the payment page
after submitting this information.

 

 
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