Summer Camp 2017 Registration Form
Please fill out the form below carefully. When you press submit, this form will be sent to our administrative office.
There is a $100 non-refundable deposit required with each child's registration form. We must receive both the completed registration form and the deposit before we can begin the registration process for your child.
Click here for Camp Information & Tuition Rates
Click here for Cancellation policy
Note: Please use a separate form for each child.
school entering Fall '17
grade entering Fall '17
Mother's cell phone
EXTENDED CARE: AM
We will contact you with further information.
TRANSPORTATION: AM Pick-up
Transportation subject to availability.
A $100 non-refundable deposit is due with this registration. I will be paying this by:
check credit card (Visa, Mastercard, AmEx, or Discover)