Camp Registration Form 2026

Camper Information

Camper Full Name*

First NameLast Name

Date of Birth*

Date

Camper's Grade Entering 2026-27 *

Grade

Campers School *

Campers Address*

Street Address

CityState / Province

Postal / Zip Code

Mother's Full Name*

First NameLast Name

Mother's Cell Number*

Please enter a valid phone number.

Mother's Email*

example@example.com

Father's Full Name*

First NameLast Name

Father's Cell Number *

Please enter a valid phone number.

Father's Email*

example@example.com

Medical Information

Does your child have allergies or a medical condition?*

Allergies or Medical conditions*

Camper requires an Epipen*

Camper has Asthma*

Camper uses Inhaler*

List any daily medication we should know*

List any other medical information we should know*

Do you give consent to the nurse to give Tylenol/Advil/Benadryl/etc. to your son if the circumstances call for it? *

Emergency Contact Information

Name of Emergency Contact #1*

First NameLast Name

Number for Emergency Contact #1*

Please enter a valid phone number.

Name of Emergency Contact #2*

First NameLast Name

Number for Emergency Contact #2*

Please enter a valid phone number.

Transportation and Payment

Camp Slapshots offers transportation, depending on interest and the number of campers, to certain locations. If you are interested in transportation for your child, please select your neighborhood and which session you would want transportation. Additional information as well as pricing will be communicated with you as we get closer to the summer.

Please select your neighborhood you would want transportation:

Session Pricing:

1 Week: $639
2 Weeks: $1,229
3 Weeks: $1,818

Choose sessions*

Session 1 (Week of July 27th)Session 2 (Week of August 3th)Session 3 (Week of August 10th)

Weeks

Registration Fee

Payment Type*

Credit CardVenmoZelle

Registration is not confirmed until payment is received.

There is a 3% fee for credit card payments.

Camp's Venmo is @Camp-Slapshots

Please review all selections carefully. All submissions and orders are final and cannot be edited.

Camp's Zelle is office@campslapshots.com

Please review all selections carefully. All submissions and orders are final and cannot be edited.

Credit card fee

Total Payment Amount*

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Cal

pay1week

pay2weeks

pay3weeks

Totalsessions

TotalPayment

emailS1

emailS2

emailS3

emailS1send

emailS2send

emailS3send

weekall

week1

week2

week3