Summer Camp Registration & Field Trip Permission

Summer Camp Registration & Field Trip Permission

Register your child for summer camp, provide medical and grant permissions for participation and field trips.
Registration Information
Camper's Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Grade (enter grade camper will be entering in the fall)
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Emergency Contact Name

First NameLast Name
Primary Emergency Contact Relationship to Camper
Primary Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Emergency Contact Name

First NameLast Name
Secondary Emergency Contact Relationship to Camper
Secondary Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Allergies (if none, write 'None')
Special Needs or Other Medical Conditions (if none, write 'None')
Summer Camp Fees & Requirements

Thank you for choosing our Summer Camp Program. Please review the required fees below:
- Registration Fee: $50 (non‑refundable)
- Regular Camp Hours: 8:15 AM – 3:30 PM at $150 per week
- Extended Care: If your child needs early drop‑off or late pick‑up, an additional $30 per week is required. Please indicate your selection on the form.
- Camp Shirt: A mandatory camp T‑shirt is required for all campers. The cost is $30, payable via CashApp at $NatashaHunter0115.
These fees help us provide a safe, engaging, and well‑structured camp experience for all children. If you have any questions regarding payments or program details, please feel free to contact us.
Early Drop-Off Option (Additional $30)
Late Pick-Up Option (Additional $30)
Field Trip Permissions
Please fill out our Field Trip permission slip here: Field Trip
Activity & Media Permissions
Agreements & Signatures
Please pay your registration fee here
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Registration Fee

$50.00 Quantity

Total

$0.00
Parent/Guardian Full Name

First NameLast Name
Today's Date

MonthDayYear
Date
Parent/Guardian E-Signature
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Summer Camp Registration & Field Trip Permission

Registration Information

Medical Information

Field Trip Permissions

Activity & Media Permissions

Agreements & Signatures

Please pay your registration fee here*

Payment Methods

Please pay your registration fee here