Camp Registration

Camp Registration
Parent Name

First NameLast Name
Parent Email Address
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Adults Approved for Pickup from Camp
Please let us know first and last names, thanks!
How Did You Hear About Us?
Camper Information
Name

First NameLast Name
Camps They Will Attend
Grade
Their rising grade for Fall 2025 (next year!)
Current School
Any Allergies or Medication?
If so, please let us know!
- Name
  
  First NameLast Name
- Camps They Will Attend
- Grade
  Their rising grade for Fall 2025 (next year!)
- Current School
- Any Allergies or Medication?
  If so, please let us know!
- Name
  
  First NameLast Name
- Camps They Will Attend
- Grade
  Their rising grade for Fall 2025 (next year!)
- Current School
- Any Allergies or Medication?
  If so, please let us know!

Waivers and Forms

By selecting singing in the box below, you agree to our Activity Release Form; please click to review it. Thank you!
Your Signature
Photo Release
I give my permission to use my student(s) photos in promotional materials for Willows Academy and for Summer at Willows emails/social media posts.

June 9-13

$275.00 How Many Campers?

June 16-20

$275.00 How Many Campers?

June 23-27

$350.00 How Many Campers?

Enter coupon

Total

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

Camper Information