Camp RegistrationCAMP REGISTRATIONCAMP REGISTRATIONCAMP REGISTRATION Register for Summer Camp 2023Please enable JavaScript in your browser to complete this form. - Step 1 of 2How many campers are you registering? *1234Camper InfoCamper #1 Name *FirstLastCamper #1 Birthday *Camper's birthdayCamper #1 Age *Camper's age on Jun 1, 2022Camper #2 Name *FirstLastCamper #2 Birthday *Camper's birthdayCamper #2 Age *Camper's age on Jun 1, 2022Camper #3 Name *FirstLastCamper #3 Birthday *Camper's birthdayCamper #3 Age *Camper's age on Jun 1, 2022Camper #4 Name *FirstLastCamper #4 Birthday *Camper's birthdayCamper #4 Age *Camper's age on Jun 1, 2022Home Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMember? *YesNoMember Number *Emergency Contact InformationParent #1 Name *FirstLastParent #1 Mobile Phone *Parent #1 Email *EmailConfirm EmailParent #2 Name *FirstLastParent #2 Mobile Phone *Parent #2 Email *EmailConfirm EmailBackup Contact name (if parents unreachable) *FirstLastRelationship to camper *GrandparentOther family memberOtherRelationship (if other) *Backup contact Email *EmailConfirm EmailBackup Contact Mobile Phone *List all Medical Conditions *If no known medical conditions, please enter N/AList all known allergies *If no known allergies, please enter N/ACamp enrolmentSelect weeks of enrolment below *Week 5: Jun 27 - Jul 1**Week 6 : Jul 6 - Jul 8Week 7: Jul 11 - Jul 15Week 8: Jul 18 - Jul 22Week 9 : Jul 25 - Jul 29Week 10 : Aug 1 - Aug 5It is also possible to sign up for only specific days within each of these weeks, please chat with our staff about these options when making payments. ** $171 member price / $189 regular priceMember Pricing *1 week - $ 285.001 day - $ 65.00Pricing *1 week - $ 315.001 day - $ 75.00NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit