Summer Camp Registration Camper Name * Camper Name First Name First Name Last Name Last Name Birthdate (DD/MM/YYYY) * Age at Time of Camp * Current School/Grade * Parent/Guardian Name * Parent/Guardian Name First Name First Name Last Name Last Name Parent Phone * Parent Email * Emergency Contact (Name & Number) * Additional Authorized Pickups Please Select Your Camp Week(s) * Week 1 - March 16th - March 20th Week 2- March 23rd - March 27thBefore & After Care * Before Care (8:00am - 9:00am) - $60 per week After Care (3:30pm - 5:00pm) - $75 per week NoneMeal Options - Would you like catered meals for your child? ($ 65/week) * Yes, we would like catered lunches each day No, we will bring our own lunch each day Allergies or Dietary Restrictions Additional Notes - please let us know anything important about your child ( medical info, interests, social notes, etc.) Submit If you are human, leave this field blank.
