Child's Name
Parent's Name
Street Address
City State Zip
Work Phone Mobile Phone
Home Phone Best Time to Reach You
Email Address
May 26 - May 30
June 2 - June 6
June 9 - June 13
June 16 - June 20
June 23 - June 27
June 30 - July 4
July 7 - July 11
July 14 - July 18
July 21 - July 25
July 28 - August 1
August 4 - August 8
** After Camp care is available for an additional charge. After camp hours are from 1:00 to 5:00 PM. The cost of after camp care is $35.00 / daily or $125/week. Payment must be made in advance.
Camp Session 1st Choice
Camp Session 2nd Choice
Comments, Questions, or Additional Details