Register Now - Summer

Summer Registration Form
Please fill out form completely.

Start Date:

Child Name:

Child Age:

Child's Date of Birth:

Mother/Guardian Name:*

Mother/Guardian Email:*

Mother/Guardian Phone Number:*

Father/Guardian Name:

Father/Guardian Phone Number:

Father/Guardian Email:


Camp Type: (Check One)
Sports Camp
Cheer Camp
Xtreme Camp (ages 9-11)
Xtreme Camp (ages 12-14)

Summer Camp Plan: (Check One)
3 Days/Week ($95/wk)
3 Days/Week with field trips ($110/wk)
Weekly ($130/wk)
Weekly with field trips ($140/wk)
6 Weeks ($750)   ($125/wk)
6 Weeks with field trips ($780)   ($130/wk)
8 Weeks ($840)  ($105/wk)
8 Weeks with field trips ($960)  ($120/wk)
10 Weeks ($1000)  ($100/wk)
10 Weeks with field trips ($1150)  ($115/wk)
Xtreme Camp Weekly ($195/wk)
Xtreme Camp 8 Weeks($1480)  ($185/wk)
Xtreme Camp 9 Weeks($1575)  ($175/wk)
Xtreme Camp 10 Weeks($1700)  ($170/wk)
Year Round Program ($95/week)

Summer Camp Week Selection: (Check One)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10

Comments:

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