Summer Camp 2021 Application
Do you need a Break? Does your child/children need a break? Have your child/children been missing out on interacting with other children their age? Is your child/children tired of being stuck in the house? Tired of virtual learning and want to experience a summer camp with fun and games. Come JOIN US this summer July 12, 2021- August 27, 2021

Serving Campers from  Kindergarten to 5th Grade

Camp Fee
Early-Bird Special until May 31st - $900
Regular Price starting July 1st - $1,100

*All payments must be sent by money order and/or checks
*Non-Refundable deposit fee of $200 is required to hold your seat for this year summer camp

Sports Program: Flag-Football, Basketball, Softball, Soccer
Dance Program: History of Dance, Hip-Hop, African
Academics: Reading, Math, - Access to the computer lab

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Email *
Parent/Guardian Name *
Phone number *
Email *
Full Home Address & Zip Code *
Borough *
Child Full Name *
Child Gender *
Current Grade *
What school does you child attend? *
Race *
Choose the activity that you would like your child to be apart of *
Size T-shirt *
If you are enrolling other children ( If you are please make sure you fill out another application) *
Emergency Contact Information - Full Name *
Emergency Contact Information- Phone # *
Emergency Contact Information-Email Address *
Emergency Contact Information- Relation to camper *
How did you hear about us? *
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