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2020 Fun Station Day Camp Registration
This form takes 3-5 minutes to fill out. To complete your registration, you must include credit card information to make the $500 deposit (per child). Deposits are fully refundable so long as you let us know by 6/1/20.
YOU CAN REGISTER MULTIPLE CHILDREN ON 1 REGISTRATION FORM
Email address *
How did you hear about us? *
Which camp package are you registering for? *
Parent #1 Last Name *
Your answer
Parent #1 First Name *
Your answer
Parent #1 Cell Phone Number *
Your answer
Parent #2 Last Name (If applicable) *
Your answer
Parent #2 First Name (If applicable) *
Your answer
Parent #2 Cell Phone Number (If applicable) *
Your answer
Home Address (House #, Street or Ave) *
Your answer
Zip Code *
Your answer
Home Number (If applicable) *
Your answer
Emergency Contact Name #1 (Last/First Name AND Phone #) ** Other than Parent #1 or Parent #2 - Ex. Aunt, Uncle, Grandparent, Neighbor ** *
Your answer
Emergency Contact Name #2 (Last/First Name AND Phone #) ** Other than Parent #1 or Parent #2 - Ex. Aunt, Uncle, Grandparent, Neighbor ** *
Your answer
Camper #1 - Last Name/First Name *
Your answer
Camper #1 Age (Summer 2020) & Date of Birth *
Your answer
Camper #1 School & Grade *
Your answer
Camper #2 - Last Name/First Name *
Your answer
Camper #2 Age (Summer 2020) & Date of Birth
Your answer
Camper #2 - School & Grade
Your answer
Which week do you want to register for? (Check all that apply) *
Required
AM Bus Transportation? (Pick-ups between 7:00-8:30 AM) *
PM Bus Transportation? (Drop-offs between 3:30-4:45 PM) *
Credit Card Number (We will take a $500 deposit per child to hold your spot which is completely refundable before 06/01/20) *
Your answer
Credit Card Expiration Date *
Your answer
Credit Card Security Code *
Your answer
Credit Card Holders Zip Code *
Your answer
Additional Comments
Your answer
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