Summer Camp 2024 Registration

Please fill out this form and click submit.

Parent / Guardian Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Student Information

Please only fill out one form per student.
(We know this is cumbersome. Thank you for your patience)

Full Name

*

Age

*

Grade

*

Gender

*

Please select one option.

Male Female

T-shirt Size (adult sizes)

*

Please select one option.

S M L XL 2XL 3XL

Allergies

Questions / Comments

Payment Information

Payment

Pay Deposit ($20.00) Pay in Full ($175.00) Pay Custom Amount ($)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

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