Summer Camp Session Request Form
Parent Information
First Name
Last Name
Member Number
If non-member, please leave blank.
Email
example@example.com
Phone Number
Please select how many Campers will be attending under your reservation.
Please Select
1
2
3
4
5
Please provide full name/ age of Camper(s) below.
Please select ALL desired weeks you would like your camper(s) to attend.
Session 1: June 3-7- Full (waitlist)
Session 2: June 10-14- Full (waitlist)
Session 3: June 17-21- Full (waitlist)
Session 4: June 24-28 - Full (waitlist))
Session 5: July 1-5: No camp July 4- Full (waitlist)
Session 6: July 8-12 - Full (waitlist)
Session 7: July 15-19 - Full (waitlist)
Session 8: July 22-26- Full (waitlist)
Session 9: July 29-Aug 2 - Full (waitlist)
Session 10: August 5-9 - Full (waitlist)
Are you interested in extended care for your camper(s)? (until 6 p.m. | $75 per child, per week)
Yes
No
What's Next..
We are all full for the summer! If you are still interested, please submit this form and you will be put on our waitlist. Mollie Carroll will contact you if you are moved off the waitlist. Thank you.
Additional Comments
Please Note:
Summer camp has a maximum of 30 campers - your submission does not guarantee your spot, summer camp is on a first come first serve basis. If the week(s) you have selected is at capacity, you will be moved to the waitlist.
Submit
Should be Empty: