Camper Registration Form

Let's do this!

* Indicates required field

Camper Last Name *

Parent/Guardian Last Name *

Parent/Guardian Home Phone *

Camper First Name *

Parent/Guardian First Name *

Parent/Guardian Cell Phone *

Camper Birthdate (YYYY/MM/DD) *

Parent/Guardian Email *

Home Address *

Select Your Session *

Full Session- Four weeks (July 3 - July 31st) Half Session- Two weeks (July 3 - July 17th) LIT Program 15-16yrs (July 3 - July 31st) CIT Program 17 yrs (July 3 - July 31st) *Half off the one month fees*

Choose your payment form *

Pay deposit and arrange for balance Arrange monthly payment installments Pay in full

Notes or Comments *

I agree to receiving marketing and promotional materials *

Submit

Camper Registration Form

Let's do this!​

Telephone

Email

Let's do this!