Camp Little Shots Registration 2025

How many children will you be registering for Summer 2025?*

Camper 1

1. Camper's Full Name*

First NameLast Name

1. Camper's Date of Birth*

Date

School / Playgroup that your child currently attends?*

Please provide the names of 2 friends that your child would like to be placed with:

1. Child's Name*

1. Mother's First Name*

2. Child's Name*

2. Mother's First Name*

Camper 2

2. Camper's Full Name*

First NameLast Name

2. Camper's Date of Birth*

Date

School / Playgroup that your child currently attends?*

Please provide the names of 2 friends that your child would like to be placed with:

1. Child's Name*

1. Mother's First Name*

2. Child's Name*

2. Mother's First Name*

Camper 3

3. Camper's Full Name*

First NameLast Name

3. Camper's Date of Birth*

Date

School / Playgroup that your child currently attends?*

Please provide the names of 2 friends that your child would like to be placed with:

1. Child's Name*

1. Mother's First Name*

2. Child's Name*

2. Mother's First Name*

Camper 4

4. Camper's Full Name*

First NameLast Name

4. Camper's Date of Birth*

Date

School / Playgroup that your child currently attends?*

Please provide the names of 2 friends that your child would like to be placed with:

1. Child's Name*

1. Mother's First Name*

2. Child's Name*

2. Mother's First Name*

Family Information

Last Name*

Summer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone (Summer)*

Please enter a valid phone number.

Additional Phone*

Please enter a valid phone number.

Winter Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone (Winter)*

Please enter a valid phone number.

Additional Phone*

Please enter a valid phone number.

Father's Name*

Father's Phone*

Please enter a valid phone number.

Mother's Name*

Mother's Phone*

Please enter a valid phone number.

Mother's Email Address*

example@example.com

Emergency Contact Information

In the event that neither parent can be reached.

1. Name*

1. Phone Number*

Please enter a valid phone number.

1. Address*

2. Name*

2. Phone Number*

Please enter a valid phone number.

2. Address*

Payment

A minimum of a $500 non-refundable deposit is due for each camper.
Deposits must be in no later than 3 days after the application was submitted to ensure a spot.
The deposit will be applied to your camp fee.

Payment option*

Deposit $500 - Per Child (Summer 2025)Camp Tuition $4,200 - Per Child (Summer 2025)

Number of Children

Total

Payment*

USDCamp Tuition

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country