Summer Camp Registration

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

First Name Middle Name Last Name
Birth Date

Month Day Year
Gender
Rising Grade (What grade will the child be entering in August 2022)

K 1 2 3 4 5 6 7 8 9 10 11
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent Name

First Name Last Name
Parent E-mail
example@example.com
Mobile Number
Please select camp name (AM sessions ONLY)

Learn to Read! (K-2): $100/week; Mon - Fri Sports & Fitness (1-8): $80/week; Mon - Thurs (Last session Week of June 27)
Please select camp name (PM sessions ONLY)

Aftercare: $100/week until 4pm; Mon - Fri Middle School Girls Volleyball (6-8): $100/week; Mon - Fri Secondary Girls Basketball (6-12): $100/week; Mon - Fri
Please pick all weeks that your camper(s) would like to attend.

Week of June 20 (Camp closed on Monday) Week of June 27 Week 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:

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Summer Camp Registration Form