Summer Camp Program 2026

Summer Camp Program 2026

Enrollment Form | Ages 5-12 | Mon-Thurs | 5pm-7pm | Starting Jul 8th
Please note that you will be required to submit the following documents at the end of this form.

Be sure to have all the required information and paperwork ready before you begin the application process. You may submit them through this form OR bring it with you to our registration office.

1. Original Birth certificate

2. Most recent report card from the child's current school

3. Valid ID of the guardian enrolling the child

Ensure that each document is clear and readable. Submit clear images.

Missing documents or incorrect documentation will delay the review process.
STUDENT INFORMATION
How many children are you enrolling?*
*
2nd Child*
3rd Child*
4th Child*

PARENT/GUARDIAN INFORMATION
Father*

First NameLast Name
Mother*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Language*
Father's Email*
example@example.com
Mother's Email*
example@example.com
Father's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Father's Occupation/Job*
Mother's Occupation/Job*

STUDENT INFORMATION