Camp Registration Form

Please Check Each Week Participating

2025 Summer Camp Schedule

Spring Break Camp (Mar 16–20, 2026)

Summer Week 1 (Jun 8–12, 2026)

Summer Week 2 (Jun 15–19, 2026)

Summer Week 3 (Jul 13–17, 2026)

Summer Week 4 (Jul 20–24, 2026)

Number of Campers

Camper's First Name

Camper's Last Name

Camper's Date of birth *

Parent/ Adult #1 Relationship to Student

Adult parent #2 Relationship to Student

Best Emergency Contact Cell Phone *

Email *

Address

City

State

Postal code

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.