Please fill out the form below to complete your 2019 Summer Camp Registration!

 
Parent / Legal Guardian Name *
Parent / Legal Guardian Name
Address
Address
Name of Camper *
Name of Camper
Camper Birthdate *
Camper Birthdate
Name of Camper
Name of Camper
Camper Birthdate
Camper Birthdate
Name of Camper
Name of Camper
Camper Birthdate
Camper Birthdate
Please list names and phone numbers of persons authorized to pick up your child(ren).