Summer Camp Registration Form

Please Fill out this form accurately to register

Please fill out this form in its entirety

Your Name (Parents) First and Last*

Your Mailing Address*

Childs Name (First and Last)*

Your Childs Age:*

Email*

Your Phone Number*

Camp Start Date: (fill out a second form for two weeks)*

Full Day Or Half Day?*

Emergency Contact Person (other then you) - First and Last Name*

Emergency Contact Phone Number:*

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Forms to print, fill out and bring the first day

Medical Release Form (pdf)

Download

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