5 openings left in this event!
9:00 - 3:00 You must have sneakers, bring a peanut free lunch, a labeled drink or you may use the water fountain. You MUST email a scanned copy of any medical form less than 3 years old to (same as the one for school is fine) If you have meds that need to be taken during the day, please download and return the forms on the camp page.
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
Additional Information:
Release of liability
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I've read the above and agree.
assumption of Risk
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I've read the above and agree.
Enter your Full Name: *   
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:*