Summer Camp Registration Form

Summer Camp Registration Form

Sign up your child for our Summer Camp. Choose your weeks, select half or full day, and complete registration easily.
Camper's Full Name*

First NameLast Name
Camper's Date of Birth*

MonthDayYear
Date
Shirt Size*
Parent/Guardian Full Name*

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

First NameLast Name
Emergency Contact Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Sibling Name

First NameLast Name
Sibling Date of Birth

MonthDayYear
Date
Sibling Shirt Size
Does the camper(s) have any allergies? Please Specify. *

Summer Camp Weeks*

Week 1 (June 29–July 3)

Choose half day or full day for Week 1.

$250.00 Quantity

Week 2 (July 6–10)

Choose half day or full day for Week 2.

$250.00 Day OptionQuantity

Week 3 (July 13–17)

Choose half day or full day for Week 3.

$250.00 Day OptionQuantity

Week 4 (July 20–24)

Choose half day or full day for Week 4.

$250.00 Day OptionQuantity

Week 5 (July 27–31)

Choose half day or full day for Week 5.

$250.00 Day OptionQuantity

Enter coupon

Total

$0.00