Skopos Summer Camp Registration
Lunch and Snack provided everyday. Camp hours are from 9am-3pm. Before and after care available.
Camper Information
Please provide details about the camper.
Camper's Full Name
*
First Name
Last Name
Camper's Date of Birth
*
-
Month
-
Day
Year
Date
Does this camper have any allergies?
*
Yes
No
Please list all allergies
Does this camper have any medical conditions we need to be aware of?
Parent/Guardian Information
Contact details for the responsible adult.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select Your Camp Sessions
Camp Sessions
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Week 2 : July 13th - 17th
Happy Campers
$295.00
$
295.00
Quantity
1
2
3
4
5
6
7
8
9
10
Week 3 : Aug. 10th - 14th
Under the Sea
$295.00
$
295.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Register and Pay
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