CAMP REGISTRATION FORM
PARENT INFORMATION
Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Number of campers
*
Please Select
1
2
3
4
CAMPER 1
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Select camp week(s) and/or extended care for Camper 1
*
June 17 - 21 Español, Arte y Cocina (ages 6-10)
June 17 - 21 Food Science (ages 8-13)
June 17 - 21 Extended Care (1:00 - 3:00)
June 24 - 28 Español, Arte y Cocina (ages 6-10)
June 24 - 28 Animal Friends (ages 7-13)
June 24 - 28 Extended Care (1:00 - 3:00)
July 29 - Aug. 2 Español, Arte y Cocina (ages 6-10)
July 29 - Aug. 2 Potion Power (ages 7-12)
July 29 - Aug. 2 Extended Care (1:00 - 3:00)
August 5 - 9 Nature Shelter Building #2 (ages 8-13)
Notes
CAMPER 2
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Select camp week(s) and/or extended care for Camper 2
*
June 17 - 21 Español, Arte y Cocina (ages 6-10)
June 17 - 21 Food Science (ages 8-13)
June 17 - 21 Extended Care (1:00 - 3:00)
June 24 - 28 Español, Arte y Cocina (ages 6-10)
June 24 - 28 Animal Friends (ages 7-13)
June 24 - 28 Extended Care (1:00 - 3:00)
July 29 - Aug. 2 Español, Arte y Cocina (ages 6-10)
July 29 - Aug. 2 Potion Power (ages 7-12)
July 29 - Aug. 2 Extended Care (1:00 - 3:00)
August 5 - 9 Nature Shelter Building #2 (ages 8-13)
Notes
CAMPER 3
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Select camp week(s) and/or extended care for Camper 3
*
June 17 - 21 Español, Arte y Cocina (ages 6-10)
June 17 - 21 Food Science (ages 8-13)
June 17 - 21 Extended Care (1:00 - 3:00)
June 24 - 28 Español, Arte y Cocina (ages 6-10)
June 24 - 28 Animal Friends (ages 7-13)
June 24 - 28 Extended Care (1:00 - 3:00)
July 29 - Aug. 2 Español, Arte y Cocina (ages 6-10)
July 29 - Aug. 2 Potion Power (ages 7-12)
July 29 - Aug. 2 Extended Care (1:00 - 3:00)
August 5 - 9 Nature Shelter Building #2 (ages 8-13)
Notes
CAMPER 4
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Select camp week(s) and/or extended care for Camper 4
*
June 17 - 21 Español, Arte y Cocina (ages 6-10)
June 17 - 21 Food Science (ages 8-13)
June 17 - 21 Extended Care (1:00 - 3:00)
June 24 - 28 Español, Arte y Cocina (ages 6-10)
June 24 - 28 Animal Friends (ages 7-13)
June 24 - 28 Extended Care (1:00 - 3:00)
July 29 - Aug. 2 Español, Arte y Cocina (ages 6-10)
July 29 - Aug. 2 Potion Power (ages 7-12)
July 29 - Aug. 2 Extended Care (1:00 - 3:00)
August 5 - 9 Nature Shelter Building #2 (ages 8-13)
Notes
Calculation
Email Validator
*
PAYMENT
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