PA Day Camp 2025 - 2026 Registration

PA Day Camp Registration

Please fill out the form below to complete your PA Day Camp 2025-2026 Registration
Personal Information
Camper/Child Name*

First NameLast Name
Camper/Child Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Parent/Guardian/Contact E-mail*
example@example.com
If there is more than one parent and/or guardian please provide their name and contact number below.
Parent / Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Parent/Guardian/Contact E-mail
YesNo
Please list any allergies your Camper/Child may have.
YesNo
YesNo
Emergency Contact
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship to Camper/Child*
YesNo
Extended Care
Extended Care is offered from 7:30am - 6:00pm at a charge of $12.00/1hr and must be prepaid through the front desk prior to or on the first day of Camp.
Please provide both Dates and Times you will be needing Extended Care. If you are not purchasing Extended Care please leave blank.
**Only required If you are purchasing Extended Care.
Payment
Please feel free to contact us with any questions or concerns you may have prior to your purchase.

Please choose your camp date (Full Day or Half Day)*

Friday, February 13, 2026 - FULL DAY$106.99CAD

Friday, February 13, 2025 - HALF DAY$73.99CAD

Friday, April 24, 2026 - FULL DAY$106.99CAD

Friday, April 24, 2026 - HALF DAY$73.99CAD

Friday, June 5, 2025 - FULL DAY$106.99CAD

Friday, June 5, 2026 - HALF DAY$73.99CAD

Enter coupon

Total $0.00CAD

PA Day Camp Registration