Summer Bug Camp WAITLIST 2024

Please fill out the information below to be added to the 2024 Bug Camp Waitlist. You will be notified if a space for your preferred time opens up.
Child's Information
Name*

First NameLast Name
Camp Preference
Please select which camp date and location your child would like to attend if a spot opens up:
1st Choice:*
2nd Choice:
3rd Choice:
Primary Parent/Guardian Information
Name*

First NameLast Name
Primary Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Should be Empty:

Child's Information