Summer Camp Form

Please correct the field(s) marked in red below:

Complete one registration for each child.  After you submit the information, follow the link to make payment.
1
Parent's name
2
Address 
Address
3
Phone
Phone
4
Email Address
5
Student's Name 
6
Students Age 
7
Needs or Allergies 
8
Emergency Contact During Class Hours/relationship to the student
9
Select the box representing the class your child will be attending. 
Select the box representing the class your child will be attending.
  1. To receive a copy of your submission, please fill out your email address below and submit.