2017 Summer Camp Registration
Register for overnight and day camps using this form. Your spot will be held in camp for ONE WEEK while payment is received by mail.
First and Last Name *
Your answer
Age at time of camp *
Your answer
Street Address *
Your answer
City and State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Gender *
Grade (2017-2018 School Year) *
School *
Your answer
District *
Your answer
Parent(s) *
Your answer
Work Phone
Your answer
Parent's Email *
Your answer
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