8-12 | Summer Camp Registration Form ποΈπ
Please fill out the registration details for your child.
Wait List Is Now In Effect
Please continue to sign up to be put on the waitlist. We will notify you if a spot opens up. Thank you.
Camp Dates
July 20th - July 22nd
Camper's Full Name
*
First Name
Last Name
Add Siblings (Ages 8-12)
*
Please Select
No siblings
1 sibling
2 siblings
3 siblings
4 or more siblings
Camper's Age
*
Is medication required during camp?
*
Yes
No
If yes, please explain medication requirements
Parent/Guardian Full Name
*
First Name
Last Name
Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Other Emergency Contact Name
*
First Name
Last Name
Other Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relation to Camper
*
*This Is Required* NOTE: This is a separate form for the property owners.
Activitiy Participation Agreement
Β
How did you hear about us?
$85/ per camper, due on next page
Click Register to continue to payment
Register
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