Fill out the camper application below and click "Update Changes" at the bottom of the form to continue.

Last:

First:

Birthdate:

Street:

City:

State: Zip:

Home Phone: ()-

Gender: Boy / Girl

Grade 2022-23: N (Preschool or not yet Kindergarten) K (Kindergarten) 1 2 3 4 5 6 7 8 9 10 11

School 2022-23:

Grade 2023-24: N (Preschool or not yet Kindergarten) K (Kindergarten) 1 2 3 4 5 6 7 8 9 10 11

School 2023-24:

Special Placement Requests: Camper/Friend:

Grade Level (if different from above):

Allergies, Medical Conditions, or Special Needs if any?

Choose your program and number of weeks!

Camp runs for 8 weeks from Monday June 26th to Friday August 18th, 2023

Choose Which Weeks You Want - Check Each Week Requested

Week 1: Jun 26 - 30
Week 2: Jul 3, 5 - 7

Week 3: Jul 10 - 14
Week 4: Jul 17 - 21

Week 5: Jul 24 - 28
Week 6: Jul 31 - Aug 4

Week 7: Aug 7 - 11
Week 8: Aug 14 - 18

Customize Your Options!

If taking the bus, please see where transportation is available here

Discounts - Check All That Apply

Mother or Guardian Contact Information:

Name:

Home Phone (if different from camper):

Address (if different from camper):

Business Phone: ()-

Cell Phone: ()-

Email Address:

Father or Guardian Contact Information:

Name:

Home Phone (if different from camper):

Address (if different from camper):

Business Phone: ()-

Cell Phone: ()-

Email Address:

Approve Release Form

I agree to all the conditions in the Release document below. (Click to enlarge)

Approve Enrollment Policies

I agree to all the conditions in the Enrollment Policies document below. (Click to enlarge)