CAMP REQUEST

To register for a camp please fill out the following information. We will follow up soon to confirm.

Guardian's Name

First Name

Last Name

Phone

(###)

###

####

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Siblings' Name (Additional siblings' name)

Siblings' Date of Birth (Additional siblings' date of birth)

WHAT CAMP(S) WOULD YOU LIKE TO REGISTER FOR? *

CAMP DATE(S) AND TIME(S).

PAYMENT OPTIONS

I WOULD ALSO LIKE INFORMATION ABOUT...