Epic Summer Camp 2026
Please fill out a registration form for each sibling. Kids will need to bring lunch, snacks, and water each day with the exception of Friday lunch. We will provide pizza on Fridays!
Camper Information
Full Name
DOB
-
Month
-
Day
Year
Date
Age/ Grade
Allergies/ Dietary Restrictions:
Medical Conditions / Medications:
Parent/Guardian Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to Camper
Emergency Contacts
Emergency Contact #1
First Name
Last Name
Relationship to Camper
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact #2
First Name
Last Name
Relationship to Camper
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Camp Week Selection
Select the weeks your child will attend camp:
Week 3: June 29 - July 3
Week 4: July 13-17
Payment
*
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Week 3 Summer Camp: June 29-July3
$155.00
$
155.00
Quantity
1
Week 4 Summer Camp: July 13-17
$155.00
$
155.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Date
-
Month
-
Day
Year
Date
Comments:
Signature
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