SPX Summer Camp Registration

Summer Camp Registration

For students entering grades PreK3 through 2nd grade in fall 2026.
Child's Name*

First NameLast Name
Grade level entering in fall 2026*
Have you already registered another of your children for the summer program?*

YesNo
Please put the name of the child you have already registered, so that we can link the registrations. *

First NameLast Name
Are the contact information, emergency contacts, and pick up names the same as those listed on the registration you have already filled out?*

YesNo
To use the sibling discount, input the code SIBLING26 into the coupon box below the week selector.
Parent/Guardian #1
Parent or Guardian Name*

First NameLast Name
Parent or Guardian Email*
example@example.com
Parent or Guardian Phone Number*
Please enter a valid phone number.
Parent or Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2
Parent or Guardian Name

First NameLast Name
Parent or Guardian Email
example@example.com
Parent or Guardian Phone Number
Please enter a valid phone number.
Parent or Guardian Address (skip if the same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact #1*

First NameLast Name
Emergency Contact #1 Phone Number*
Please enter a valid phone number.
Emergency Contact #2*

First NameLast Name
Emergency Contact #2 Phone Number*
Please enter a valid phone number.
Please list anyone other than those listed above who have permission to pick up your child. Please list all names in this box.*
Does your child have any allergies or medical conditions?*

NoYes
If yes above, please list any allergies or medical conditions below.*
Do you wish to sign your child up for all 8 weeks?*

YesNo
To use the 8 week discount, input the code ALL8 into the coupon box below the week selector. The code is only valid if all 8 weeks are selected.

Please select the weeks you would like and use the drop down to indicate the grade they are entering in the fall.*

Week 1June 22 to June 26

$325.00 Grade

Week 2June 29 to July 3

$325.00 Grade

Week 3July 6 to July 10

$325.00 Grade

Week 4July 13 to July 17

$325.00 Grade

Week 5July 20 to July 24

$325.00 Grade

Week 6July 27 to July 31

$325.00 Grade

Week 7August 3 to August 7

$325.00 Grade

Week 8August 10 to August 14

$325.00 Grade

Enter coupon

Total

$0.00

Credit Card

E-mail for confirmation*
example@example.com
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Full Name

First NameLast Name

section separator for the form style - do not remove
Should be Empty:

Summer Camp Registration

Parent/Guardian #1

Parent/Guardian #2

Credit Card