The Legacy School — Camp Registration

Camper Information
Student's Name

First NameLast Name
Birth Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
School Attended in 2025-26
Grade Finished 2025-26
Photo of Student

Cancelof
Health & Safety
Physical or health restrictions?
If yes, please explain
Allergies?
If yes, please explain
Additional notes
Parent/Guardian Information
Parent/Guardian #1
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Parent/Guardian #2
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Swim Permission
I give permission for my child to use the main pool (shallow or deep) and the slip and slide during outdoor games.
Agreement & Payment
Signature of Parent/Guardian

First NameLast Name
Today's Date

MonthDayYear
Date
prevnext( X )
Camp Tuition Deposit

$165.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty: