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 (waitlist)
Session 2: June 10-14 (waitlist)
Session 3: June 17-21 (waitlist)
Session 4: June 24-28
Session 5: July 1-5: No camp July 4
Session 6: July 8-12
Session 7: July 15-19
Session 8: July 22-26
Session 9: July 29-Aug 2
Session 10: August 5-9 (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..
Follow your submission, you will be contacted via email by Mollie Carroll for link to registration forms.
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 and notified via email. You will receive a confirmation email for the weeks your camper is registered.
Submit
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