Camp Registration Form

Please fill out all fields below

Child's First and Last Name: Child's Birthday
(mm/dd/yyyy): 		Child's Age:
Address: City: State:
Contact Email: Phone: School:
Mother's Name: Contact Phone:
Father's Name: Contact Phone:
Camp of Interest:
 Desired Date:

Will camper be HALF day or FULL day?
Will camper require Before or After Care?
Does the child enrolling have any health issues we should be aware of?
If yes, please explain:
Additional Comments:

* $50 Non-Refundable Deposit is required when registering for a week camp, $25 when registering for a single day camp.
* Payment in full is required the week prior to the start of the camp.
* Please call with credit card information or drop off deposit onsite.
.