Summer Camp Registration
Register now for QCPA Summer Camp — choose your weeks, options, and apply for scholarships.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
Date
Participant's Age
*
What grade are they entering for 2026-2027 school year?
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Each participant will receive personalized summer enrichment materials and a book that they will work on throughout the summer.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Select Attendance Type
*
Full Camp
Partial
Aftercare
Select Camp Weeks (2 week minimum requirement)
*
Week 1: June 15 – June 19
Week 2: June 22 – June 26
Week 3: June 29 – July 3 (Holiday Week)
Week 4: July 6 – July 10
Week 5: July 13 – July 17
Week 6: July 20 – July 24
Week 7: July 27 – July 31
Week 8: August 3 – August 7
My Products
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QCPA Summer Enrichment Camp Registration Fee
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit Registration
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