Mercer County Community College Summer Sports Camps
Before-Care / After-Care Registration Form 2019
Print this form.  Mail the signed, completed form with full payment to:

Athletics Department
Mercer County Community College
P.O. Box 17202
Trenton, NJ 08690

Full payment must accompany registration.

Camper's
Last Name		 First Name
Street Home Phone
City Business Phone
State & Zip Male or Female?
In the SELECT columns, mark the section(s) you wish to register the camper for:
BEFORE-CARE
7:30 to 9 a.m.
Section SELECT Days Cost
  June 17-21 $50
  June 24-28 $50
  July 1,2,3,5 $50
  July 8-12 $50
  July 15-19 $50
  July 22-26 $50
  July 29 - August 2 $50
  August 5-9 $50
Before-Care Total $
  AFTER-CARE
4 to 6 p.m.
Section SELECT Days Cost
  June 17-21 $75
  June 24-28 $75
  July 1,2,3,5 $75
  July 8-12 $75
  July 15-19 $75
  July 22-26 $75
  July 29 - August 2 $75
  August 5-9 $75
After-Care Total $

Method of Payment
$__________ Check or Money Order (combined total for before-care and after-care) payable to MCCC Althetic Foundation  Write camper's name and Social Security number on check. DO NOT SEND CASH.
Charge to: ____ Visa
____ Mastercard
____ American Express
____ Discover
Card Number
 Expiration Date
Cardholder's Name
 Cardholder's Signature
 Charge Amount
$________________

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.