2026 Summer Kids Camp

1
Kid's Name* This field is required.
First Name
Last Name
2
Kid's Age* This field is required.
(Age at time of camp)
3
Parent's Name* This field is required.
First Name
Last Name
4
Has Your Child Attended Camp Before?* This field is required.
YESNO
5
Phone Number* This field is required.(Must be a # that receives text and can reply concerning updates about camp)
Please enter a valid phone number.
6
Email* This field is required.(** Must be a email that is active and can receive important updates)
example@example.com
7
Who will bring kid to camp? * This field is required.(If this information should change please call or text 252-436-7223)
First Name
Last Name
8
Phone Number - Transportation Person * This field is required.(Person bringing Kid to camp)
Please enter a valid phone number.
9
Emergency Contacts* This field is required.Please list (2) names, phone numbers, and relation to child.
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Small
Ok
Ok
10
Does your child have any allergies? * This field is required.
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Small
Ok
Ok
11
Child's T-Shirt Size* This field is required.
Youth Small 6-8
Youth Medium 10-12
Youth Large 14-16
Youth X-Large 18-20
Adult Small
12
Is there anything else we should know about your child?* This field is required.
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Ok
Ok
13
Are you registering a sibling or relative of your child who will also attend? If so, what is their name & age?* This field is required.
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Small
Ok
Ok
14
Pick Your Date!Which camp will your child attend? Please only choose 1 date for camp so that others may attend.
June 15th-18th
June 22nd-25th
July 6th-9th
July 27th-30th
15
Let's choose your camp date!* This field is required.
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ORDER SUMMARY
FeesUSD
SubtotalUSD
Total costUSD
Camp DatePlease select camp dates by CLICKING THE BLUE PLUS SIGN BOX. If "OUT OF STOCK" shows, you must choose another available date. Please only choose 1 week per child so that others may attend.
$250.00Edit
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June 15-19 (9am-12pm)
June 15-19 (9am-12pm)
June 22-25 (9am-12pm)
July 6-9 (9am-12pm)
July 27-30 (9am-12pm)
DATES
16
Payment Methods
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