Camper Information

1. Camper Name(required)
2. Date of Birth(required)
3. Address(required)
4. City(required)
5. State(required)
6. Zip Code(required)
7. School Attending(required)
8. Neighborhood(required)

Parent / Guardian Information

1. Name(required)
2. Relationship(required)
3. E-mail(valid email required)
4. Phone Number(required)
5. Alt Phone

Camp Choice

1. Camp 5- July 26-30 (Ages 5-12)
2. Interested, please let me know about other possible dates.

Payment

1. All Camps are $150 per week. Subtract $15 for each additional child.
2. Your total due
3. $50 non-refundable deposit is required to make a camper reservation.
4. For Credit Cards Payment, please submit your form. After submitting, you will be directed to our On Line Payment Center.

1. Shall we email you a copy of this registration?

 

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