Client Registration
Please take a few minutes to fill out the registration form. This is the first step to ensuring that we get to know you and your child. We can't wait to meet you and kick-off the summer socializing.
Email address *
Person/s providing information*
Last Name, First Name
Your answer
Relationship to Client *
Your answer
Client Information
Client Name *
Last Name, First Name
Your answer
Home Adress *
Street, City, State, Zip, Country
Your answer
Client's Gender Identification *
Client's Age *
Your answer
Client's Birth Date *
MM
/
DD
/
YYYY
Camper's Race/Ethnicity
Client's Language/s *
Please identify all language/s this client understands and uses.
Your answer
Client's school of attendance.
Your answer
Client's Grade *
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