School Holiday Camps

Select your Camp(s)
Preffered Time Slot
Student Name

First NameLast Name
Student's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate of Birth
Grade
School
School District
Allergies
Mother Name

First NameLast Name
Mother Email
example@example.com
Mother Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father Name

First NameLast Name
Father Email
example@example.com
Father Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorized Pickup

Other
Relation to the child
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mandatory Pickup/ Drop-Off Policies and Procedures
PAYMENT

Fall Break

$199.00

Thanksgiving Camp

Closed on 11/26/2026

$175.00

Winter Break - Week 1

Closed on 12/25/2026

$175.00

Winter Break - Week 2

Closed on 01/01/2027

$175.00

Enter coupon

Total

PAYMENT