Summer Camp Enrollment FormComplete the form to begin registration

Enrollment

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* Required information.
Student Name: *
Sex: *
Male
Female
Age: *
Birthday: *
Mailing Address: *
City: *
Zip: *
Home Phone: *
Cell Phone: *
Summer Camp Program: *
Week 1 (June 12 to 16)
Week 2 (June 19 to 23)
Week 3 (June 26 to 30)
Week 4 (Jul 10 to 14)
Week 5 (Jul 17 to 21)
Week 6 (Jul 24 to 28)
All weeks
Parent/Legal Guardian Name #1 *
Parent/Legal Guardian Name #2:
Emergency Contact Name #1: *
Emergency Contact Phone #1: *
Relationship with Student for Emergency Contact #1: *
How did you hear about us? *

After submitting the information in this form, you will be contacted via phone and email to continue the registration process. This form does not guarantee availability and enrollment in our summer program. Enrollment is on a first come; first served basis. Enrollment is only complete after all camp fees are paid.