Summer Camp Registration Form
After submitting this form, please proceed to payment to complete enrollment.
If you’re enrolling more than one child please add to the cart as many sessions as needed per each child.
Form Summer Camp 2026
Days and Times
Select the number of days and hours you would like to sign up for.
Full Day
Half Day
Do you need extra care?
Yes
No
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Parent Information
Full Name of Father
Phone
Email
Full Name of Mother
Phone
Email
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Authorized Person for Pickup
Authorized Person for Pickup
Father
Mother
Other
Please Specify Authorized Pickup Person
Full Name and Relationship to the Child
Phone
Emergency Contact Number
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Child’s Information
Child’s Full Name
Date of Birth
Residential Address
Residential Address
Any allergies or medical conditions?
Render consent to apply First Aid / Call 911 when required. (a life-threatening situation exists)
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Add another child
Would you like to add another child?
Yes
No
Child’s Full Name
Date of Birth
Residential Address
Residential Address
Any allergies or medical conditions?
Render consent to apply First Aid / Call 911 when required. (a life-threatening situation exists)
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Important Details
Weeks attending:
Permission to photograph the child and use pictures for social media/marketing
Yes
No
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Confirmation of Enrollment
Refund & Cancellation Policy: I understand that all Summer Camp Cancellations made 14 days prior to camp start receive a 50% credit valid for the current Summer Season only. No credits are issued for cancellations made within 14 days of the start date.
I have read and agree to the Summer Camp Policy.Privacy Policy
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