Enrollment Form
Once registration is completed online a $50 non-refundable deposit per camp, per child will be due to reserve your spot. Deposit will be applied to total camp fee, e.g. $200 (fee) - $50 (deposit) = $150 balance due Spaces are limited and will be filled on a first-come, first-served basis. Registrations will be accepted until camps are full. Balance will be due on or before your child's first day of camp.
Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Gender
*
Male
Female
Child's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian
*
First Name
Last Name
Relationship to Child
Type a label
*
Preferred Phone Number
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Home Email
Work Email
Work Number
*
Please enter a valid phone number.
Employer
blanks
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Parent/Guardian
*
First Name
Last Name
Relationship to Child
blanks
*
Preferred Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Home Email
Work Email
Employer
blank
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Number
*
Please enter a valid phone number.
Camp Sessions, pick the campes you are interested in.
*
Chosen Camps
Wait List - Session 1 -Dino-Roar! ($200)
May 28th - May 31st
Session 2 - Mad Scientist ($200)
June 3rd - June 6th
Wait List - Session 3 - Lego Mania ($200)
June 10th - June 13th
Wait List - Session 4 - Mythical Creatures ($200)
June 17th - June 20th
Signature
Submit
Submit
Should be Empty: