Parent Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Child's Name

First Name

Last Name

Emergency Contact Phone *

Other than Parents

(###)

###

####

*

What program would you like to register for?

Parent Child Open Play 9:45-11:15

Kids Only (Ages 2.6+) 9:00-11:00

Junior Camp (Entering Kindergarten in 2025) 9:15-1:15

Senior Camp (Entering Kindergarten in 2024) 9:30-1:30

Summer Weeks *

$100 non-refundable, non-transferrable deposit is required upon registration that will be applied to your balance. Each week's camp balance is due on Tuesday, the first day of camp. You may pay in person with cash or check. Otherwise, an invoice will be emailed to you after registration with a link to pay via credit card or ACH.

Junior/Senior Week 1: Bubbles (July 9th - July 11th)

Junior/Senior Week 2: Dinosaur Dig (July 16th - July 18th)

Junior/Senior Week 3: A Camping We Will Go (July 23rd - July 25th)

Junior/Senior Week 4: Olympics: Let the games Begin (July 30th - August 1st)

Junior/Senior Week 5 : Animal Action (August 6th - August 8th)

Junior/Senior Week 6 : Water Carnival (August 13th - August 15th)

Parent Child/Open Play -All 6 weeks, Monday

Kids Only- All 6 weeks, Tuesday, Wednesday, Thursday

Date

MM

DD

YYYY