Cosmic Camp Registration: Part 1

« Back to Cosmic Camp Overview

Please fill out the form below to register for our Cosmic Day Camp. Upon completion of the form, you will be redirected to our Order page so you can pay for your camp registration(s).

If you would prefer to pay by check, please download the registration form and mail, along with a check made out to Liquid Planet LLC, to:

Liquid Planet Water Park
446 Raymond Rd.
Candia, NH 03034

Registration Form

Please check the preferred week or weeks and appropriate camp:

Week 1: 06/21-06/25	Lil' Dipper	Big Dipper
Week 2: 06/28-07/02	Lil' Dipper	Big Dipper
Week 3: 07/05-07/09	Lil' Dipper	Big Dipper
Week 4: 07/12-07/16	Lil' Dipper	Big Dipper
Week 5: 07/19-07/23	Lil' Dipper	Big Dipper
Week 6: 07/26-07/30	Lil' Dipper	Big Dipper
Week 7: 08/02-08/06	Lil' Dipper	Big Dipper
Week 8: 08/09-08/13	Lil' Dipper	Big Dipper
Week 9: 08/16-8/20	Lil' Dipper	Big Dipper
Week 10: 08/23-8/27	Lil' Dipper	Big Dipper

Child Information:

Child 1 Name:		Age:		Address:
Child 2 Name:		Age:		Address:
Child 3 Name:		Age:		Address:
Child 4 Name:		Age:		Address:

Parent Information:

Parent's Name:
Address:
Home Phone:
Cell Phone:
Work Phone:
Email:

Parent Disclaimer and Signature

I accept full responsibility for my child's/children's use of any and all apparatus, appliances, facility privilege whatsoever owned and operated by this Park at their own risk and shall hold this Park, it's shareholders, directors, officers, employees, represetatives and agents harmless from any and all loss, claim injuries, damage or liability sustained or incurred by my son or daughter resulting therefrom.

Signature (type):
Date:
	Please print a copy of this page for your records before submitting.