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Summer Registration
Please fill out form completely.
Fields marked with * are required.
Start Date:
*
Child Name:
*
Child Age:
*
Child's DOB:
Mother/Guardian Name:
*
Mother/Guardian Email:
*
Mother/Guardian Phone Number:
*
Father/Guardian Name:
Father/Guardian Email:
Father/Guardian Phone Number:
Camp Type: (Select One)
*
Sports Camp
Creative Camp
Enrichment Camp
Nature/Outdoors Camp
Xtreme Camp
Cheer Camp
Summer Camp Plan: (Select One)
*
3 Days/Week ($110 /wk)
3 Daily ($37.50)
Weekly ($155 /wk)
10 Weeks ($145 /wk) ($1450 for 10 weeks)
11 Weeks ($145 /wk) ($1595 for 11 weeks)
Xtreme/Outdoors Camp Weekly ($199 /wk)
Summer Camp Week Selection: (Check all that apply)
*
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
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