2025 Summer Camp Request Form

2025 Summer Camp Request Form
Student Name*

First NameLast Name
Any Questions/Comments?
*We will answer/address them when we reach out for confirmation.
Student Age*
*Must be 5 years are or older 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 week(s) are you requesting for?*

June 16th - June 20thJune 23rd - June 27thJuly 7th - July 11thJuly 14th - July 18thJuly 21st- July 25thJuly 28th - August 1stAugust 4th - August 8thAugust 11th - August 15thAugust 18th - August 22nd
Which days of the week are you requesting for?

MondayTuesdayWednesdayThursdayFridayALL WEEKDifferent days for different weeks (if requested multiple weeks)
Which time slots are you requesting for?

9:00am-12:00pm12:00pm-3:00pm9:00am-3:00pmDifferent sessions for different days (if requested multiple days/weeks)
ALL Summer Camp Sessions will be held:

Monday through Friday

9:00am-12:00pm or 12:00pm-3:00pm

$45/day Drop-In

$185/week for MEMBERS

$200/week for NON-MEMBERS

9:00am-3:00pm

$70/day Drop-In

$325/week for MEMBERS

$350/week for NON-MEMBERS
Should be Empty: