CAMP REQUESTTo register for a camp please fill out the following information. We will follow up soon to confirm. Guardian's Name * First Name Last Name Email * Phone * (###) ### #### Child's Name * First Name Last Name Child's Date of Birth * MM DD YYYY Siblings' Name (Additional siblings' name) Siblings' Date of Birth (Additional siblings' date of birth) WHAT CAMP(S) WOULD YOU LIKE TO REGISTER FOR? * * AM PM COMBO 1-5 Extended Day 9:30-3:30 CAMP DATE(S) AND TIME(S). PAYMENT OPTIONS Please charge the card you have on file. I'll call with payment today. Other. I WOULD ALSO LIKE INFORMATION ABOUT... Birthday Parties Art Classes Parent's Night Out Fun Fridays Thank you!