Summer Camp Registration Form
Please fill out the child's details and proceed to payment at the end.
Parent or Guardian Full Name
*
First Name
Last Name
Parent or Guardian Email Address
*
example@example.com
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Child's Grade (2026-2027 school year)
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies or medical conditions?
Summer Camp Payment
*
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June 8-12 (9am-3pm)
One-week camp session
$225.00
$
225.00
July 13-17 (9am-3pm)
One-week camp session
$225.00
$
225.00
Both weeks (June 8-12 and July 13-17) - discounted rate $200/week
Both camp weeks at the discounted rate
$400.00
$
400.00
Camp registration (per family)
Registration fee per family
$50.00
$
50.00
Register and Pay
Should be Empty: