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 Name
Last Name
Camper's Date of Birth
*
-
Month
-
Day
Year
Date
Shirt Size
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Other
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Telephone Number
*
Please enter a valid phone number.
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone #
*
Please enter a valid phone number.
Are you registering a sibling?
*
Yes
No
Sibling Name
First Name
Last Name
Sibling Date of Birth
-
Month
-
Day
Year
Date
Does the camper(s) have any allergies? Please Specify.
*
Summer Camp Weeks
*
prev
next
( X )
Week 1 (June 29–July 3)
Choose half day or full day for Week 1.
$
250.00
Half Day (9am-12pm)
Full Day (9am-3pm)
Quantity
1
2
3
4
5
Week 2 (July 6–10)
Choose half day or full day for Week 2.
$
250.00
Day Option
Half Day (9am-12pm)
Full Day (9am-3pm)
Quantity
1
2
3
4
5
Week 3 (July 13–17)
Choose half day or full day for Week 3.
$
250.00
Day Option
Half Day (9am-12pm)
Full Day (9am-3pm)
Quantity
1
2
3
4
5
Week 4 (July 20–24)
Choose half day or full day for Week 4.
$
250.00
Day Option
Half Day (9am-12pm)
Full Day (9am-3pm)
Quantity
1
2
3
4
5
Week 5 (July 27–31)
Choose half day or full day for Week 5.
$
250.00
Day Option
Half Day (9am-12pm)
Full Day (9am-3pm)
Quantity
1
2
3
4
5
Credit Card
*Early bird discount automatically applied before April 1*
Register Now
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