Camper Registration Form

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* 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 2nd - July 30th) Session 1- Two weeks (July 2nd - July 16th) Session 2- Two weeks (July 16th - 30th) LIT Program 14 - 15 yrs (July 2nd - July 30th) CIT Program 15 - 16 yrs (July 2nd - July 30th)

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!