2017-2018 Youth Leadership Program Registration

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CAMP S.W.A.G. YOUTH LEADERSHIP PROGRAM PARTICIPANT INFORMATION: (OPEN TO ALL STUDENTS, AGE 13 – 19. WHO ARE CURRENTLY ENROLLED IN MIDDLE SCHOOL OR HIGH SCHOOL)

Youth Leadership Program Membership is $2,000.00 per year plus a $175 one-time non-refundable processing and administrative fee (the first year only).

Please give us a call at (424) 354-9196 with any questions. Please visit Camp S.W.A.G. Youth Leadership Program Membership for program benefits and details.

If you are registering siblings, please complete seperate forms for each sibling. There is a 15% sibling discount and the discount will be refunded back to your initial form of payment. If you would like the sibling discount deducted up front, please give us a call at (424) 354-9196 and we will process the payment over the telephone.


Youth Leadership Program Payment Plan Option:

Select "Yes" in the "Youth Leadership Progam Payment Plan" below and your credit/debit card will be charged $950.00, today.
  • 1st Payment – $1,175.00 ($1,000.00 plus one-time non-refundable processing and application fee of $175)
  • 2nd Payment – $1,000.00 (30-days from initial payment date)

If you require alternate payment arrangements or have questions, please give us a call at (424) 354-9196.

Membership is not complete until all payments and fees are paid in full.


PARTICIPANT INFORMATION

All CSWAG Youth Leadership Program members will receive a free CSWAG Youth Leadership Program T-Shirt. T-Shirts may be a little smaller than average, so you may want to order one size larger.
MAIN CONTACT (Parent or Guardian)
Please take a moment to answer the following questions honestly and in detail. This part of the application process is taken very seriously and we would love to know how you feel. This an opportunity for the CSWAG Youth Leadership Program staff to get to know you and hear your voice. This is an opportunity for self-reflection and self-awareness.

Youth Leadership Program Payment Plan:

If you are interested in the Payment Plan, please check the box below. Today your credit card will be charged $1,175.00 ($1,000.00 plus one-time non-refundable processing and application fee of $175). Please see the Payment Plan Schedule below:
  • 1st Payment – $1,175.00 ($1,000.00 plus one-time non-refundable processing and application fee of $175)
  • 2nd Payment – $1,000.00 (30-days from initial payment date)
Please give us a call if you require alternate payment arrangements or if you have questions at (424) 354-9196.

Membership is not complete until all fees are paid in full.


CERTIFICATION:

As the parent/guardian of the minor child listed above I hereby certify that the information contained in this application for Camp S.W.A.G. Leadership Program Membership is true and complete and that the applicant is between the ages of 13 and 19 and enrolled in middle school or high school at the time this application is submitted. I understand that any misrepresentation or deliberate missing of a material fact in this application may disqualify the child listed above from the application process or terminate membership and no refund will be issued.

By Esigning and submitting this form, I acknowledge that I have read and agree to the terms of the Camp S.W.A.G. Code of Conduct and Release/Waiver of Liability/Indemnity Agreement/Photo Release.

I also acknowledge that my credit card will be charged $2,175.00 (Unless I selected the Youth Leadership Program Payment Plan, in which case my credit card will be charged $1,175.00) for the Camp S.W.A.G. Youth Leadership Program Membership, which includes a $175 one-time processing and administrative fee (the first year only).

YOUTH LEADERSHIP PROGRAM MEMBERSHIP IS NOT COMPLETE UNTIL ALL PAYMENTS AND FEES ARE PAID IN FULL.
Once you hit "SUBMIT" you will now be redirected to the payments. MEMBERSHIP IS NOT COMPLETE UNTIL ALL PAYMENTS AND FEES ARE PAID IN FULL.