Summer Camp Registration

10-18 Year Old Group

* REQUIRED FIELDS

Choose a date below:

Session Dates:
Monday - Friday

June 11-15

June 25-29

July 23-27

Name of Child or Children:		Number of Children in this Group:
*Ages:	Please list the age of each child.	*Sex:	Please list the sex of each child.
Address:		Parent/Guardian Name:
Email:		Phone:

* REQUIRED FIELDS

Choose a date below:

Session Dates:
Monday - Friday

June 4-8

June 18-22

July 16-20

Name of Child or Children:		Number of Children in this Group:
*Ages:	Please list the age of each child.	*Sex:	Please list the sex of each child.
Address:		Parent/Guardian Name:
Email:		Phone:

* REQUIRED FIELDS

Choose a date below:
Session Dates: Tuesday - Friday	July 9-13

Name of Child or Children:		Number of Children in this Group:
*Ages:	Please list the age of each child.	*Sex:	Please list the sex of each child.
Address:		Parent/Guardian Name:
Email:		Phone:

Summer Camp Tuition:

Please add up your total and place it here. Enter this total in the 'Item Price:' field on the PayPal payment screen.