Camp Glory 2024
Reservation Agreement
CHILD'S NAME
*
First Name
Last Name
CHILD'S DATE OF BIRTH
*
-
Month
-
Day
Year
Date
CHILD'S CURRENT GRADE
*
Please Select
Kindergarten
First
Second
Third
Fourth
Fifth
Has this child attended Camp Glory before?
*
Yes
No
PARENT'S NAME
*
First Name
Last Name
PARENT'S PHONE NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
PARENT'S EMAIL
*
example@example.com
MEMBERSHIP
*
New Town Resident
Spark School's Out Club Member
St. Charles Christian Church
Waverly Forest Academy Family
None
PROGRAM (DAYS PER WEEK)
*
Please Select
5 Days per week- Monday - Friday
3 Days per week- Monday/Wednesday/Friday
2 Days per week- Tuesday/Thursday
Hybrid - Will coordinate with CG Director
TOTAL NUMBER OF WEEKS BEING RESERVED
*
Please Select
1
2
3
4
5
6
7
8
9
10
CHOOSE WEEKS TO RESERVE
*
June 3-7
June 10-16
June 17-21
June 24-28
July 1-5 (Closed July 4 & 5)
July 8-12
July 15-19
July 22-26
July 29- August 2
August 5-9
PAYMENT OPTION
*
Full Summer Payment via Check (10% Discount)
Weekly Payments via Tuition Express
Full Summer Payment via Credit/Debit (8% discount)
PARENT'S SIGNATURE
*
Continue
Continue
Should be Empty: