2023 Summer Camp Request Form

Summer Camp Request Form
Student Name

First NameLast Name
Any Questions/Comments?
*We will answer/address them when we reach out for confirmation.
Student Age
*Must be 5 years are or older to participate
Contact Name

First NameLast Name
Email
This is how we will be contacting you. PLEASE leave a valid email address. If you prefer we reach out to a phone number, please include that in the notes section at the bottom.
Phone Number
Please enter a valid phone number.
Which week(s) are you requesting for?

6/12-6/166/19-6/236/26-6/307/10-7/147/17-7/217/24-7/287/31-8/48/7-8/118/14-8/188/21-8/25
Are you requesting for the AM or PM time slot?

AM (9:00am-12:00pm)PM (12:30pm-3:30pm)BOTH
ALL Summer Camp Sessions will be held:

9am - 12pm, OR 12:30pm - 3:30pm (Monday through Friday)

EARLY BIRD PRICING:

$35/day or $150/week

NOTE: $35 Deposit (per child) is REQUIRED in order to reserve spot.

*Prices listed are for ONE time session. The $150 does NOT cover both morning and afternoon sessions for a full week*

[20% Discount for those who attend BOTH sessions]
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