Summer Day Camp Registration

Summer Day Camp Registration

Guardian Information

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Phone

(###)

###

####

Number of Children Registering

Child Name

First Name

Last Name

Birth Date

MM

DD

YYYY

Grade Entering

Allergies

Special Instructions or important information we should know

Child Name 2

First Name

Last Name

Birth Date

MM

DD

YYYY

Grade Entering

Allergies

Special Instructions or important information we should know

Child Name 3

First Name

Last Name

Birth Date

MM

DD

YYYY

Grade Entering

Allergies

Special Instructions or important information we should know

Payment and Waivers

Please select the payment button to pay your child/children’s registration to hold their spot for camp
We will email you a waiver form to fill out and bring to the first day of camp.

Payment