2024 Summer Program Registration

"*" indicates required fields

Camper Name*

First Last

Camper Age:*

2024-25 School Year Grade:*

Allergies or Important Medical Information:*

Caregiver Name*

First Last

Caregiver Email:*

Caregiver Phone*

We want to register for*

Please choose the camp or CIT position from the list below. A $100 non-refundable deposit is due today.

Deposit Amount Due Today

Payment Information*

Cardholder Name

Card Details

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Any questions or comments?

How Did You Hear About Us?*

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