Summer Camp Registration Form
Enrollment for Summer Camp Starts Now!

 

Please select:

Session

Program

Fees per week

Select

Fees

A
B
C
D
E
1
Session 1: June 17 - June 23
Program A
$1,000.00
$0.00
2
Session 2: June 24 - June 30
Program B
$1,000.00
$0.00
3
Session 3: July 1 - July 7
Program C
$1,000.00
$0.00
4
Session 4: July 8 - July 14
Program D
$1,000.00
$0.00
5
Session 5: July 15 - July 21
Program E
$1,000.00
$0.00
6
Session 6: July 22 - July 28
Program F
$1,000.00
$0.00
7
Session 7: July 29 - Aug 4
Program G
$1,000.00
$0.00
8
Session 8: Aug 5 - Aug 11
Program H
$1,000.00
$0.00
9
Session 9: Aug 12 - Aug 18
Program I
$1,000.00
$0.00
10
 
 
 
Total Fees
$0.00

Participant Details

Child Name: 

Date of Birth: 

Gender:

Parent/Guardian Name: 

Home Address: 

City/State/Zip: 

Phone Number: 

Email Address: 

 

Does your child suffer from any allergies, illness, disability or other medical conditions? 

 

Please describe:

 

Is there any other information or concern you would like us to know? 

 

Parent/Guardian Signature: 

 
 

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