Summer Camp Registration Form “2026”

Summer Camp Registration Form “2026”

Please fill out your details to register for the summer camp.
Camper's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
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.
Medical Conditions or Allergies (if any)
Special Needs or Requests (optional)
Parent/Guardian Signature

By signing this form you agree to pay $75 registration fee which includes: Camp shirt, camp bag and swim goggles. Weekly payments are due Monday mornings late fees will apply after Tuesdays and withdrawal by Fridays for non payment.
Should be Empty: