Summer Camp 2021 Registration Form
A SUMMER FULL OF JOY AND FUN!
Please fill out one form for each child if you are registering for more than one child.
Email *
Camper's Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Gurrent School *
Entering Grade in Fall 2021 *
Emergency Contact Phone Number *
Parent's or Legal Guardian's Name *
Address *
Camp Schedule
The weeks to attend-Full Day Camp
The weeks to attend-Half Day camp *
Submit
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