Summer Camp 2025

2025 Camp Registration
Welcome! We're excited for your kids to have a fun and memorable summer!
Registration fee reserves your childs days and pays for thier supplies $150.

Camp tuition is $90 a day if you choose a payment plan, otherwise you'll recieve a 20% discount when you pay in full at registration.
Camper Information
Name*

First NameLast Name
Email Address*
Phone Number of parent 1*
Please enter a valid phone number.
Phone Number of parent 2
Please enter a valid phone number.
Age *
Grade for upcoming year
Campers Primary Residence
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Emergency Contact 2
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Physician and Medical Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Preferred Hospital
Insurance/Health Coverage (Company)*
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns, or anything you want us to know.*

Emergency Contact 1