Camper Information Dates: June 22- July 17, 2026 Monday - Friday Before care 8:30am - 9am $10 a day/$50 a week After care 3:30pm - 5pm $15 a day/$75 a week Number of Children Registering for Early or After Care Camper 1 Name* First Name Last Name Date of Birth* Month Day Year Grade My child/children will be attending:* Before CareAfter Care Attending Before Care:* DailyWeekly Attending After Care:* DailyWeekly Child 1: My child/children will be attending 8:30am-9am:* June 22June 23June 24June 25June 26June 29June 30July 1July 2July 3July 6July 7July 8July 9July 10July 13July 14July 15July 16July 17 Child 1: My child/children will be attending 8:30am-9am:* Please select all that apply: Week 1: June 22-26Week 2: June 29-July 3Week 3: July 6-10Week 4: July 13-17 Child 1: My child/children will be attending 3:30pm-5pm* June 22June 23June 24June 25June 26June 29June 30July 1July 2July 3July 6July 7July 8July 9July 10July 13July 14July 15July 16July 17 Child 1: My child/children will be attending 3:30pm-5pm:* Please select all that apply: Week 1: June 22-26Week 2: June 29-July 3Week 3: July 6-10Week 4: July 13-17 Camper 2 Name First Name Last Name Date of Birth Month Day Year Grade My child/children will be attending:* Before CareAfter Care Attending Before Care:* DailyWeekly Attending After Care:* DailyWeekly Child 2: My child/children will be attending 8:30am-9am:* June 22June 23June 24June 25June 26June 29June 30July 1July 2July 3July 6July 7July 8July 9July 10July 13July 14July 15July 16July 17 Child 2: My child/children will be attending 8:30am-9am:* Please select all that apply: Week 1: June 22-26Week 2: June 29-July 3Week 3: July 6-10Week 4: July 13-17 Child 2: My child/children will be attending 3:30pm-5pm* June 22June 23June 24June 25June 26June 29June 30July 1July 2July 3July 6July 7July 8July 9July 10July 13July 14July 15July 16July 17 Child 2: My child/children will be attending 3:30pm-5pm:* Please select all that apply: Week 1: June 22-26Week 2: June 29-July 3Week 3: July 6-10Week 4: July 13-17 Camper 3 Name First Name Last Name Date of Birth Month Day Year Grade My child/children will be attending:* Before CareAfter Care Attending Before Care* DailyWeekly Attending After Care* DailyWeekly Child 3: My child/children will be attending 8:30am-9am:* June 22June 23June 24June 25June 26June 29June 30July 1July 2July 3July 6July 7July 8July 9July 10July 13July 14July 15July 16July 17 Child 3: My child/children will be attending 8:30am-9am:* Please select all that apply: Week 1: June 22-26Week 2: June 29-July 3Week 3: July 6-10Week 4: July 13-17 Child 3: My child/children will be attending 3:30pm-5pm* June 22June 23June 24June 25June 26June 29June 30July 1July 2July 3July 6July 7July 8July 9July 10July 13July 14July 15July 16July 17 Child 3: My child/children will be attending 3:30pm-5pm:* Please select all that apply: Week 1: June 22-26Week 2: June 29-July 3Week 3: July 6-10Week 4: July 13-17 Parent Information Father's Name First Name Last Name Cell Phone Area Code Phone Number E-mail Mother's Name First Name Last Name Cell Phone Area Code Phone Number E-mail Payment Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 2.5% Payment* Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration Year Notes Submit Should be Empty: This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
This page uses TLS encryption to keep your data secure.
