Summer Camp Registration Form 2026
Camp hours: 8:00 AM–3:00 PM Cost: $325 for the full week or $80 per day To reserve a spot in the camp, please complete the form below accurately.
Child's Name
First Name
Last Name
Age
Gender
Child's Name
First Name
Last Name
Age
Gender
Child's Name
First Name
Last Name
Age
Gender
Child's Name
First Name
Last Name
Age
Gender
Parent/Guardian Phone Number
Format: (000) 000-0000.
Work Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select the week for your 2026 summer camp
Please Select
June 1st-5th
June 22th-276th
July 6th-10th
July 27th-31st
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
Format: (000) 000-0000.
Emergency Contact Information
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Relationship to Student
The Summer Camp runs from 8:00 AM to 3:00 PM.The cost for the full week (Monday–Friday) is $325.To reserve a spot, you can make a $100 deposit, which will be applied toward the total camp cost. You will receive an invoice by email before the week begins for the remaining balance.
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Camp Deposit
Non-refundable
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit Form
Should be Empty: