Summer Camp Registration 2022

Summer Camp Registration

Summer Camp 2022 Dates May 31-July 1st 2022
Please Fill Out A Separate Form For Each Child
Students Name

First Name Last Name
Student #1 Birthday

Month Day Year
Date
Student Grade For The 2021-2022 School Year *
Student Gender

Male Female
Student Allergies
Student Medications
Parent / Guardian Name

First Name Last Name
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
Parent Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Summer Camp Registration Camp Starfish Pre K-1st Grade

$ 75.00 Quantity
Item subtotal: $ 0.00

Summer Camp Registration Camp Dolphin 2nd-3rd Grade

$ 75.00 Quantity
Item subtotal: $ 0.00

Summer Camp Registration Camp BETA 4th-6th Grade

$ 75.00 Quantity
Item subtotal: $ 0.00

Summer Camp T-Shirt Summer Camp T-shirts are mandatory for campers.

$ 25.00 Weight (kg)
Item subtotal: $ 0.00

Weekly Camp Meal Plan This is an add-on for the weekly camp lunch and snack plan. Each camper will that has the meal plan option will receive the lunch for the day and designated afternoon snack. Please notify the staff of any allergies and food sensitivities your camper may have. Please note meal plans are non-refundable and non-transferable. We ask that if you are purchasing a meal plan mid-week, please note it will not take effect until the following week.

$ 50.00

Additional T-Shirt Please add this t-shirt option for multiple student registrations.

$ 25.00

Subtotal

$ 0.00

Tax

$ 0.00

Total

$ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Student T-Shirt Size
I understand that accounts that has a balance 48hours from draft date may result in my childs' space not being available. Please Initial

Clear
I understand that summer camp tuition is charged weekly. Please Initial

Clear
I understand that no cash is accepted on the premises. All payments must be made via autopay. Please Initial

Clear
I understand that campers must wear their designated camp t-shirts each day. Please Initial

Clear
If I have signed up for the weekly meal plan I understand that it is non transferable and non-refundable.

Clear
Should be Empty:

Summer Camp Registration

Please Fill Out A Separate Form For Each Child