Child's Name
*
Child's Date of Birth
*
Child's Date of Birth
Gender
Male
Female
Parent/Guardian Name
*
Address
Street Address
State
City
Postal Code
Email
*
Cell
*
Home
Office
Summer Camp Weeks 1–7
Week 1: Ocean’s Blue (June 14th-17th)
Week 2: Superhero Science (June 21st-25th)
Week 3: Roar Roar Dinosaur (June 28th-July 2nd)
Week 5: Sound Is All Around (July 12th-16th)
Week 6: Don’t Bug Me (July 19th-23rd)
Week 7: My Body My Buddy (July 26th-30th)
Will your child be coming during Early-bird? (8am-9am)
Yes
No
Will your child be staying for Late-bird? (3pm-6pm)
Yes
No
Submit Registration