Parent Name 1 *

First Name

Last Name

Phone *

(###)

###

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Parent Name 2 *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Child's Name *

First Name

Last Name

Child's Birthday *

MM

DD

YYYY

Which camp sessions are you interested in? *

Select all that apply

Session 1 June 4-27

Session 2 June 30-July 25

Which days per week? *

Monday

Tuesday

Wednesday

Thursday

Friday

Which hours? *

Select all that apply. If choosing "Full Day" that should be your only selection.

Early care 8:00-9:00

Core Day 9:00-1:00

Enrichment 1:00-3:00

Extended Day 3:00-6:00

Full Day 8:00-6:00