Graham Camp Registration Form

Graham Camp Registration Form

2026-2027 School Year - SPRING SEMESTER - January through May **must be enrolled in Kindergarten+ elementary school for registration**
Parent's Name

First NameLast Name
Parent's Email Address
example@example.com
Parent's Cell Number
Format: (000) 000-0000.
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Child's Age
Child's Highest Grade Completed
Child's Allergies (please list or type none)
Please list any siblings currently enrolled at PLC:
Child's Registration Date(s)
Notice

I understand by signing my child up for camp, I will be charged by the week following my child's attendance. If my child does not attend a registered camp day, I am responsible for 50% of my child's daily camp fees. If I do not cancel my child's camp enrollment at least 5 days in advance, I am responsible for 50% of my child's daily camp fees. Prodigy Learning Center must have your family's ACH account on file in order for your child to remain registered.
Should be Empty: