Summer Camp Registration

Summer Camp Registration

Register your child for our summer camp and upload all required documents in one place.
Parent/Guardian Full Name

First NameLast Name
Relationship to Child
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

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

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Gender

Other
Does your child have any allergies?
Does your child take any medications?
Medical Conditions or Special Needs
Authorized Pick-Up Persons (Names and Phone Numbers)
Upload Parent/Guardian I.D.

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Upload Medicaid/PeachCare/Insurance Card

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Upload Current Utility Bill

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Upload 2025 Tax Return

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Upload Current Picture of Your Child

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Should be Empty: