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Summer Camp
Summer Camp Week:
*
Quantity
$160
-
June 12-16
0
1
2
3
3
$160
-
July 10-14
0
1
2
3
3
$160
-
July 24-28
0
1
2
3
3
Contact Information
Parent/Guardian Contact
First Name
Last Name
Phone Number
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Child's Name
*
First Name
Last Name
Gender
select one
Female
Male
Youth T-Shirt Size
*
select one
3T
XS
S
M
L
XL
Youth T-Shirt Size
*
select one
3T
XS
S
M
L
XL
Grade entering in the Fall 2023
Medical or Allergy Concerns the staff should know
Any behavior concerns the staff should know
Add another child
Yes
2nd Child's Name
First Name
Last Name
Week(s) child will attend
Week 1: June 12-16
Week 2: July 10-14
Week 3: July 24-28
2nd Child's Gender
select one
Female
Male
2nd child Youth T-Shirt Size
select one
3T
XS
S
M
L
XL
Grade entering in the Fall 2023
*
Medical or Allergy Concerns the staff should know
Any behavior concerns the staff should know
Add a 3rd Child
Yes
3rd Child's Name
*
First Name
Last Name
Week(s) child will attend
Week 1: June 12-16
Week 2: July 10-14
Week 3: July 24-28
3rd Child's Gender
select one
Female
Male
Youth T-Shirt Size
*
select one
3T
XS
S
M
L
XL
Grade entering in the Fall 2023
Medical or Allergy Concerns the staff should know
Any behavior concerns the staff should know
Name and Phone Number for those you authorize to pick up your child
Add 3% to my total amount to help cover the payment processing fees