Summer Camp 2024
Parent’s Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Child’s Name
*
First Name
Last Name
Child’s Date of Birth
*
-
Month
-
Day
Year
Date
Sibling’s Name (if enrolling)
First Name
Last Name
Sibling’s Date of Birth
-
Month
-
Day
Year
Date
Sibling’s Name (if enrolling)
First Name
Last Name
Sibling’s Date of Birth
-
Month
-
Day
Year
Date
I want to buy a 10 day FLEX PASS
*
Yes
No
Please list desired days and times (ex: 6/3 am, 6/5 am, 6/7 Full day)
*
PAYMENT
*
Please Select
Charge my card that you have on file (current members)
Call me to pay over the phone
Submit
Should be Empty: