Summer Camp 2021 Registration Form
Camper Name
*
First Name
Last Name
Parent Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What grade is camper entering in the fall?
*
Is Camper Currently Enrolled at Mighty Oak Academy Student?
*
Yes
No
Camper Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Camper T-Shirt Size
Please Select
XS
S
M
L
XL
2XL
3XL
List of Camps Wanting to Attend (Can Select Multiple)
*
Introductory Sports Camp (June 7th - June 11th)
Creative Camp (June 14th - June 25th)
Basketball Camp (June 28th - July 2nd)
Science and Technology Camp (July 12th - July 23rd)
Football and Cheerleading Camp (July 26th - July 30th)
Does Camper have any known Allergies? If yes, please list below.
Parent Email Address
example@example.com
Submit
Should be Empty: