Child Steps 2026 Summer Camp Registration

Child Steps 2026 Summer Camp Registration

Register your child for our 2026 summer camp. You can apply for additional children after submitting the form for this child by click on the "Fill Again" button after Thank You.
YesNo

Parent/Guardian 1 Full Name*

First NameLast Name
Parent/Guardian 1 Email Address*
example@example.com
Parent/Guardian 1 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian 2 Full Name

First NameLast Name
Parent/Guardian 2 Email Address
example@example.com
Parent/Guardian 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Child's Full Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
MaleFemaleOther
Child's Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Age as of June 22, 2026*
Age 2 - 8
Select Program*
Select Camp Session(s)*
Select Full Summer if your child will attend the entire summer. Otherwise, select at least 4 sessions (Hold CTRL)
YesNo

Arrival Time By Day*

Pickup Time By Day*

NoneAllergiesMedical ConditionsOther
DairyBeesSesameNuts (Any)EggsShellfishSoyOther
Please provide additional information on allergies and medical conditions
I.e., Epipen or other Medication needed, Or Medical condition description
Emergency Contact (1 for now-more can be added later)*

First NameLast NamePhone Number
Number of Total Children Attending Summer Camp*
How many children will attend summer camp
YesNo
Application Payment
prevnext( X )
Application Fee Per Child
Application Fee Per Child will be applied to registration fee, or refunded if no space is available.

$25 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: