2025 Spring Break Camp Request Form

2025 Spring Break Camp Request Form
Student Name*

First NameLast Name
Student Age*
Must be at least five years old to participate
Contact Name*

First NameLast Name
Email*
This is how we will be contacting you. PLEASE leave a valid email address. If you prefer we reach out to a phone number, please include that in the notes section at the bottom.
Phone Number*
Please enter a valid phone number.
Which days are you requesting for?*

Monday (3/24)Tuesday (3/25)Wednesday (3/26)Thursday (3/27)Friday (3/28)ALL WEEK (3/24-3/28)
Camp will be held Monday through Friday (March 24-28) from 9:00am - 1:00pm.

$50/day Drop-In

$200/week for MEMBERS

$225/week for NON-MEMBERS
Any questions/comments?
Should be Empty: