Summer High School Player Program Registration

  • 2022 Summer High School Players Program
    Registration Form (3pm - 6pm)

     
  • Please enter a number from 13 to 18.
  • Parent Information

  •  

  • Camp Options & Fees

  • Multi-Week Discount Packages
    Additional weeks can be purchased at the discounted rate via emailing admin@passacademybullis.com.
  • Individual Weeks
  • Drop In Days
  • Price: $70.00
    3pm-6pm
  • Enter the desired date(s).
  • $0.00
  • American Express
    Discover
    MasterCard
    Visa
    Supported Credit Cards: American Express, Discover, MasterCard, Visa
     
  • Medical Authorization & Release

  • MM slash DD slash YYYY
    By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.
  • MM slash DD slash YYYY
    By dating above, I agree to hold Pass Academy and Bullis School harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.
    I give permission for photos of my child participating in Pass Academy at Bullis programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.