Registration Form

Registration Form
Camper First & Last Name*
Preferred Name
Date of Birth*

MonthDayYear
Camper's Age*
Parent's First & Last Name*
Parent's Email*
Parent's Phone Number*
Format: (000) 000-0000.
Please note: each session has a max capacity of 30. When a session is full, it will no longer be able to be selected in the dropdown. If the session you're interested in is full, email us to be added to the waitlist!
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where did you hear about us?*
Allergies, medical conditions, behavioral concerns, etc
Please read our Waiver & Liability Agreement before completing registration.
I have read and agree to the Waiver & Liability Agreement for my child’s participation.
Before/After Care extends hours to 8AM–5PM for an additional $75 per week. Important: Please select only one option per week—do not select both the standard session and the extended care option.

Choose a session, and optionally add extended care