Summer Camp Registration Form 2025
From 8:00 AM - 3:00 PM. To book for a place in the the camp, you must complete the form below accurately.
Your Name
First Name
Last Name
Home Phone Number
Mobile Number
Email Address
example@example.com
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select the week for your summer camp
Please Select
June 2rd-6th
June 23th-27th
July 7th-11th
Select Camp shirt size
Small
Medium
Large
Extra-large
Please provide any medical or dietary restrictions you have
How did you hear about Camp?
Please Select
Email
Facebook
Print Ads
Radio
Referral
School Official
Others
Family Information
Parent/Guardian's Name
First Name
Last Name
Contact Phone Number
E-mail Address
example@example.com
Emergency Contact Information
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Relationship to Student
My Products
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Camp Deposit
Non-refundable
$
75.00
Quantity
1
2
3
4
Final Payment
Payment are non-refundable.
$
300.00
Quantity
1
2
3
4
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit Form
Should be Empty: