FULL DAY CAMP WAITLIST

1
Parent/Guardian Name* This field is required.
First Name
Last Name
2
Parent/Guardian Email* This field is required.
example@example.com
3
Parent/Guardian Phone* This field is required.
Please enter a valid phone number.
4
Please enter the date of the Day Camp for which you would like to register
5
Number of children you would like to register* This field is required.
Please Select
Please Select
1 child
2 children
3 children
6
Child 1 Name* This field is required.
First Name
Last Name
7
Child 1 Date of Birth* This field is required.
Date
Month
Day
Year
8
Child 1 Grade* This field is required.
Please Select
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Please note that due to licensing restrictions we cannot accept Pre-K students for Full Day Camps at Maas.
9
Child 2 Name
First Name
Last Name
10
Child 2 Date of Birth
Date
Month
Day
Year
11
Child 2 Grade
Please Select
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Please note that due to licensing restrictions we cannot accept Pre-K students for Full Day Camps at Maas.
12
Child 3 Name
First Name
Last Name
13
Child 3 Date of Birth
Date
Month
Day
Year
14
Child 3 Grade
Please Select
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
Should be Empty: