Register for Summer camp

Please note payment is due at the time of submitting this Summer Camp enrollment form. Registration without payment will not be processed.

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Child(ren)

Email address

Phone number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Primary Contact:

Work Phone Number:

Child(ren) Full Name(s)

Child 1 D.O.B

Month

Day

Year

Child 2 D.O.B

Month

Day

Year

Child 3 D.O.B

Month

Day

Year

Child(ren) shirt size:

Allergies/ Medications:

Date of your child's last tetanus shot?

Which Summer Session are you enrolling?

Session 2: July 7- 18, 2025

Session 3: July 21-August 1, 2025

Session 4: August 4-15, 2025

Session 1: June 23 - July 3, 2025 (SOLD OUT)

Yes, I certify that my Child(ren) is fully potty-trained.

Yes, I understand that if it is determined my child is not potty trained they will be removed from camp with no refund.

Emergency Contact Name

Emergency Phone Number

Emergency Email

Name of Person Authorized to pick up Child Daily

Enter the amount below based on the number of children you are enrolling and the number of sessions.

Number of Sessions

Enrollment Fee