Summer Camp Registration

Summer Camp Registration Form
AM Sessions 9-12 PM Sessions 1-4
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
K1234567891011
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name

First NameLast Name
Parent E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Learn to Read! (K-2): $100/week; Mon - FriSports & Fitness (1-8): $80/week; Mon - Thurs (Last session Week of June 27)
Aftercare: $100/week until 4pm; Mon - FriMiddle School Girls Volleyball (6-8): $100/week; Mon - FriSecondary Girls Basketball (6-12): $100/week; Mon - Fri
Week of June 20 (Camp closed on Monday)Week of June 27Week of July 4 (Camp closed on Monday)Week of July 11 (Camp closed Monday - Wednesday)
Additional Comments
Please Note All Submissions Made Before Friday 12pm Will Have a Start Date for the following Monday. After Friday 12pm will start the second Monday, ie at least 7 days from submission. Please Type your name to acknowledge this Statement
Should be Empty:

Summer Camp Registration Form