One moment please...
Camper Name
*
First Name
Last Name
Date of Birth
*
(mm/dd/yyyy)
Shirt size for JCY Camp T-Shirt
*
select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Parent/Guardian Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone Number
*
How many weeks?
*
5
4
3
2
Select weeks:
*
June 19 - 24 (FULL - No spaces available)
June 27 - July 1 (2 spaces remaining)
July 5 - 8 (no camp July 4)
July 11 - 15
July 18 - 22
July 25 - 29
Tuition options
*
Tuition will be invoiced on the 5th of June. Full tuition must be paid by July 20, 2022.
I will pay the full tuition by June 20th. (This option includes a 5% discount.)
I would like to split my tuition into two invoices, one billed 6/5/22 and the second billed 7/5/22.
Email(s) to which invoices should be sent (separate by comma if multiple):
*
How did you hear about JCY camp?
select one
Returning camper
Word of mouth
Internet search
Social Media
Received a brochure
Other/Don't remember
If someone referred you, please let us know who: