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 3 - July 31st) Half Session- Two weeks (July 4 - July 18) LIT Program 15-16yrs (July 4 - Aug 1) CIT Program17 yrs (July 4 - Aug 1)

Choose your payment form *

Pay deposit and arrange for balance Arrange monthly payment installments

Notes or Comments *

Submit

Registration Form

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Telephone

Email

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