Summer Camp 2025 Registration
Please fill out this form and click submit.
Number of Children Attending
*
Please select one option.
1
2
3
4
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Mother's Name
*
Mother's Phone
*
Mother's Email
*
This address will receive a confirmation email
Father's First Name
*
Father's Last Name
*
Father's Phone
*
Father's Email
*
This address will receive a confirmation email
My child will be attending
*
Please select one option.
Summer Camp
Weeks of summer camp my child will be attending
Please select all that apply.
ALL
June 10-12
June 17-19
June 24-26
July 8-10
July 15-17
July 22-24
Name of Child 1
*
Child 1 Grade Level leaving
*
Please select one option.
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
T-shirt Size for Child 1
*
Please select one option.
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Select Option
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Allergies for Child 1
*
Name of Child 2
Child 2 Grade Level leaving
Please select one option.
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
T-shirt Size for Child 2
Please select one option.
youth S
youth M
youth L
Adult S
Adult M
Adult L
Adult XL
Select Option
youth S
youth M
youth L
Adult S
Adult M
Adult L
Adult XL
Allergies for Child 2
Name of Child 3
Child 3 Grade Level leaving
Please select one option.
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
T-shirt Size for Child 3
Please select one option.
youth S
youth M
youth L
Adult S
Adult M
Adult L
Adult XL
Select Option
youth S
youth M
youth L
Adult S
Adult M
Adult L
Adult XL
Allergies for Child 3
Name of Child 4
Child 4 Grade Level leaving
Please select one option.
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
T-shirt Size for Child 4
Please select one option.
youth S
youth M
youth L
Adult S
Adult M
Adult L
Adult XL
Select Option
youth S
youth M
youth L
Adult S
Adult M
Adult L
Adult XL
Allergies for Child 4
If you would like to make weekly payments of $100/child for summer camp instead of paying in full at the moment, this option will be available for cash, check, or visa (in person only, no online payments)
I would like to make weekly payments instead of paying the full Summer Camp amount at once
*
Please select one option.
Yes
No
Payment
1 Child ($300)
2 Children (ALL Summer Camp ONLY) ($600)
3 Children (ALL Summer Camp ONLY) ($900)
4 Children (ALL Summer Camp ONLY) ($1200)
I will be paying weekly
1 Child ($300)
2 Children (ALL Summer Camp ONLY) ($600)
3 Children (ALL Summer Camp ONLY) ($900)
4 Children (ALL Summer Camp ONLY) ($1200)
I will be paying weekly
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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