Summer Camp Registration

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Please complete the form below

 
Camper's Name *
Camper's Name
Birthday *
Birthday
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Parent Name
Parent Name
Parent Phone
Parent Phone
Address *
Address
Camp Week *
Please select the weeks you would like to attend
Extended Care
Afternoon Tutoring
Payment Options
*MUST CHOOSE PAY IN FULL TO APPLY EARLY REGISTRATION DISCOUNT*
Deposit *
A $100 deposit per camper is required to hold your camper's spot
Card holder's Name
Card holder's Name
Billing Address
Billing Address
Please select one: