Summer Day Camp Registration Form

Summer Day Camp Registration Form

Cost: $40 per child, per week (Multiple child discount: $20 per child, per week for additional siblings)
Camper Information
Parent/Guardian Full Name

First NameLast Name
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.
Summer Day Camp Weeks (Monday-Thursday, 9 a.m. - 2 p.m.)
If you are registering multiple children and they are not all attending the same weeks, please indicate that, and any additional notes, below:
Camp Weeks
Should be Empty: