Summer Intensive 2025 Registration
Student enrollment is not secured until payment has been recieved. Please notify our administrator if you make a digital payment.
Student Name
*
First Name
Last Name
Student Age
*
Student Name
First Name
Last Name
Student Age
Student Name
First Name
Last Name
Student Age
Student Name
First Name
Last Name
Student Age
Parent Contact Information
Parent Name
*
First Name
Last Name
Parent Contact Phone Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
Additional Information
Adults allowed to pick up your children from camp
Does your child have any medical conditions of which we should be aware? Please list below.
Does your child carry an EpiPen
*
Yes
No
Student's T-shirt size *Please list the name of each child before the shirt size. IE- Johnny: Youth Medium*
*
Payment Method
*
Cash
Check
PayPal
Venmo
Submit
Should be Empty: