2025 EAC Summer Circus Camp Registration
Camper's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
School
*
T-shirt Size
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
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Select Camp Week
*
Week 1 (July 7th to 11th)
Week 2 (July 14th to 18th)
Please Select for Week 1
*
Whole Day Camp (9 AM to 4 PM/ $795)
Half Day Morning Camp (9AM to 12 PM/$399)
Half Day Afternoon Camp (1 PM to 4 PM/ $399)
Please Select for Week 2
*
Whole Day Camp (9 AM to 4 PM/ $795)
Half Day Morning Camp (9AM to 12 PM/$399)
Half Day Afternoon Camp (1 PM to 4 PM/ $399)
Parent's Name
*
First Name
Last Name
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Upload a current photo of the camper
*
Browse Files
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Choose a file
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Upload Health and Immunization Records
*
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Does camper have any special condition or physical limitations of which we should be aware of? If yes, please explain below.
Products Price
Choose a payment option
Pay the full amount now with 5% discount(Available before March 1st)
Pay 20% deposit fee and be billed with remaining balance later
Total Price
My Products
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USD
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