Please complete the following application
form fully to register for the Navy Swimming Camp. A confirmation
will be emailed upon acceptance to the Camp.
Please note, there is a
$12.00 service fee to apply online. If you would like to avoid this fee, please
submit your
application via US mail along with payment enclosed.
Click here to complete the Technique Request Form.First Name:
Last Name:
Email address:
Street Address:
City:
State:
Zip:
Telephone:
Date of Birth:
Age (at
camp):
Sex:
Male
Female
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Check
one: |
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Resident: |
June 10
- June 14 |
($550.00) |
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Resident: |
June 15
- June 19 |
($550.00) |
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Resident: |
June 10
- June 19 |
($1100.00) |
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Commuter: |
June 10
- June 14 |
($450.00) |
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Commuter: |
June 15
- June 19 |
($450.00) |
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Commuter: |
June 10
- June 19 |
($900.00) |
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Extended Day: |
June 10
- June 14 |
($500.00) |
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Extended Day: |
June 15
- June 19 |
($500.00) |
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Extended Day: |
June 10
- June 19 |
($1000.00) |
Roommate Request:
T-shirt Size:
Parents or Guardians:
Name:
Telephone (daytime):
(evening):
Parent's email address:
Please send a
copy of your medical / insurance card at your earliest convenience.
We must have this on file prior to registration.
Copies may be sent to;
Coach Adam Kennedy, Navy Swimming Camp, 628 Cooper RD, Lejeune Hall 4A,
Annapolis, MD 21402
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