Summer Camp Registration Supplemental Information

Only fill out this form after you have registered and paid for camp online here.

To complete your summer camp registration please fill out the following form. Please fill out information for each child attending camp.

Child 1

Child's first name: *

Child's last name: *

Child's birth date: *

Child's age at time of camp: *

Week attending: *

Parent/guardian full name: *

Parent/guardian email address: *

Confirmation and parental permission form will be sent here.

Child 3

Child's first name:

Child's last name:

Child's birth date:

Child's age at time of camp:

Week attending:

Parent/guardian full name:

Parent/guardian email address:

Confirmation and parental permission form will be sent here.

Child 2

Child's first name:

Child's last name:

Child's birth date:

Child's age at time of camp:

Week attending:

Parent/guardian full name:

Parent/guardian email address:

Confirmation and parental permission form will be sent here.