Summer Camp Registration Form

Summer Camp Registration Form

Sign up your child for our Summer Camp. Choose your weeks, select half or full day, and complete registration easily.
Camper's Full Name

First NameLast Name
Camper's Date of Birth

MonthDayYear
Date
Shirt Size
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact

First NameLast Name
Emergency Contact Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Are you registering a sibling?
Sibling Name

First NameLast Name
Sibling Date of Birth

MonthDayYear
Date
Sibling Shirt Size
Does the camper(s) have any allergies? Please Specify.

Week 1 (June 29–July 3)

Choose half day or full day for Week 1.

$250.00 Quantity

Week 2 (July 6–10)

Choose half day or full day for Week 2.

$250.00 Day OptionQuantity

Week 3 (July 13–17)

Choose half day or full day for Week 3.

$250.00 Day OptionQuantity

Week 4 (July 20–24)

Choose half day or full day for Week 4.

$250.00 Day OptionQuantity

Week 5 (July 27–31)

Choose half day or full day for Week 5.

$250.00 Day OptionQuantity

Enter coupon

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