Registration Short Form

Camper’s Name

First Name

Last Name

Parent/Guardian Email Address

Parent/Guardian Phone Number

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Summer Camp Session

Please select the summer camp session that your child will attend.

Age

Please select the age your child will be during the selected summer camp session.

Deposit

A non-refundable deposit of $75 per child, per week is required.

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