26-27 School Break Camp Sign-Up Form

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Student Name

First NameLast Name

Age of Student

Camp selections (choose all that apply)

Per camp rate

Select the quantity per number of camps showing above

$50.00 Quantity

Discounted Price with Extended Pick Up until 5:30pm

Select the quantity per number of camps showing above. (this will be for all camp dates chosen).

$60.00 Quantity

Enter coupon

Subtotal

Tax

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

2026-2027 School Break Camp Sign-Up