Summer Camp Student Form

Thank you in your interest in our Summer Camp program!
We are excited to have you and your family along on this adventure.
We have camps available the weeks of June 24th, July 8th, July 15th & 22nd.
Please take time to fill out the below form as well as the Medical Release Form.
We look forward to seeing you at summer camp!

Student & Family Information

Students Name *
Students Name
Child's Birthday *
Child's Birthday
Mother's Name
Mother's Name
Address
Address
Phone
Phone
Father's Name
Father's Name
Address
Address
Phone
Phone