Activities include: Open Play Arts and Crafts Instructed classes Daily Snacks provided Lunch Picnics Indoor/Outdoor Games Movie
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Students entered below will be added to your family's account
What size t-shirt does your camper wear?*
I understand that I am to bring a lunch for my camper. Should I forget a lunch, one will be provided to my child for $5.*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*