2018 Summer Camp Registration

2018 Summer Camp Registration

One form per household. Please call or come in if you have more than 4 children to register.
Camper # 1

First Name Last Name
Age of Camper #1
Camper #2

First Name Last Name
Age of Camper #2
Camper #3

First Name Last Name
Age of Camper #3
Camper #4

First Name Last Name
Age of Camper #4
Parent or Legal Guardian

First Name Last Name
Parent Email
example@example.com

Address

Best Phone Number to Reach Parents

- Area Code Phone Number
Alternate phone

- Area Code Phone Number
Emergency Contact (Other than parent listed above)

First Name Last Name
Emergency Contact Phone Number

- Area Code Phone Number
Please refer to the Summer Camps page on our website for times, ages of campers in each camp and other details.
Check box for each camp attending. Change quantity only if two or more children are attending that camp.

Total $ 0.00
For multiple children on one form, please list which child will attend which camp(s). (For example, Camper #1 - Rock Band and Monet's Garden 2; Camper #2-Blog Your Way to Fame)
Payment in full is required for submission of registration. Please call our office if you have any questions, have more than 4 children to register, or need to make other payment arrangements.

Submission of this form indicates your permission for your child to attend the camp(s) indicated and participate in all camp activities. A separate Emergency Medical Release form will be emailed to you and must be turned in by the start of the first camp for which you register.

Once registration has been submitted, NO REFUNDS can be issued. However, we can apply your payment to another camp, class or lessons as long as notice is given at least 48-hours before the camp begins. There are NO REFUNDS for no-shows or dropping out once camp has started.
Signature (please sign using your mouse, stylus or finger)

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