2019 Pinewood Summer Day Camp Registration
Welcome to Pinewood Summer Day Camp! Please complete and submit the form below. Email camps@pinewoodprep.com if you have any questions. We are excited to see you this summer!

Camp registration will be billed weekly at the rate of $180/week.

Please submit a separate registration form for each child.

Email address *
Student First Name: *
Your answer
Student Last Name: *
Your answer
Grade as of August 2019 *
Your answer
Choose Camp Week: *
Required
Parent First Name: *
Your answer
Parent Last Name: *
Your answer
Street Address: *
Your answer
City/State/Zip Code *
Your answer
Parent Home Phone *
Your answer
Parent Cell Number: *
Your answer
Parent Email: *
Your answer
Please confirm student status below: *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Pinewood Preparatory School. Report Abuse - Terms of Service