2025 Summer Camp Registration Form

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Child’s Deposit Phone

Parent/Guardian Name *

First

Last

Email Address *

Phone Number *

Child’s Name *

Child’s Age *

Weeks of Interest: (M-F 9am-4pm) *

Additional Notes

Any additional information or special requirements.

Reservation Deposit *

Price: $50.00

A $50 deposit is required to reserve your spot.

Check Out *

Card Number

Expiration Date

Security Code

Card Holder Name

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