Registration
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IMPORTANT REGISTRATION INFORMATION: $195 Registration until May 15, $210 Until July 14th, 225.00 after July 14th This will register your child for the entire week. Any campers you enroll must be potty trained and able to attend the bathroom without assistance. Camp tuition will not be billed until the Monday before camp and is non-refundable. Our office will prorate your camp tuition based on your deposit and any sibling discounts you may qualify for ($10% off each additional child). Call us with any other questions: 281-419-3547
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
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Cell #:
Work #:
Email:
(Emails are kept confidential)
Address:
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City:
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State:
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AK
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AR
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CA
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CT
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DE
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GA
HI
IA
ID
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Zip:
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Emergency Contact Info
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Disabilities (Leave blank if NONE):
Allergies:
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Medications:
*
Primary Doctor:
*
Photo release (Y/N):
*
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
*
Photo release (Y/N):
*
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
*
Photo release (Y/N):
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
*
Photo release (Y/N):
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
*
Photo release (Y/N):
*
Questions/Options:
I will provide a snack, a lunch, and a re-usable water bottle for my child. (Please label all items with your child's name)
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Yes
No
Please list any allergies your child may have:
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I understand that a $25 non-refundable security deposit per child is required upon registration.
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Yes
No
Tuition will be billed the Monday before camp. Once tuition has been billed, it is non-refundable. Please check yes, if you have read and are willing to abide by this policy.
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Yes
No
Who will be picking up your child? (ID required)
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What's your child's t-shirt size? (CXS, CS, CM, CL, CXL, AXS, AS, AM, AL, AXL)
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How did you hear about our Camp?
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Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number:
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Visa
Mastercard
Name as it appears on card:
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Nickname:
Card Expiration Month:
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Exp Year:
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Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
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