Camper Name: ______________________________________

Address: _____________________________________________________

City: _____________________   ZIP: ________________

Daytime Phone: _________________________   Evening Phone: ____________________________

Date of Birth: _______________   Email: _______________________________________________
Holiday Camp Fax Registration Form
Camp Start Date: __________   Camp Time: ______________  Half day or Full Day: ____________
Amount: _________________

Credit Card Number: __________________________________   Exp Date: ___________________

Name on card: _______________________________________   CVV (code on back): _____________

Billing Address: __________________________________________   ZIP: _____________

Cancellation Policy:

No refunds will be given for any reason within two weeks before the start of the  camp.  There is a $50.00 cancellation fee for any other cancellation.  All Refunds are in the form of Store Credit.  NO REFUNDS IF BUYING AT DISCOUNTED PRICE!

Make check payable to: HWOB
Mail to: 541 Division St, Bldg B, Campbell, CA 95008

FAX (408) 866-8088