Student Information
Last Name:
Grade:
 (from Sept)
School:
Parent Information
First Name:
Last Name:
Phone:
Email:

Address:
City:
State:
Zip Code:
Daily Camp Schedule
Drop off Time Morning Session Lunch Break Afternoon Session Activity Pickup
8:30 AM - 9:00 AM 9:00 - 12:00 PM 12:00 - 1:00 PM 1:00 - 4:00 PM 4:00 - 5:00 PM 5:00 - 5:30 PM

Choose Courses ** (Please select the location to see the list of courses available for each week.)
Week Location Course Price
Week 1 (6/20 - 6/24)
Week 2 (6/27 - 7/01)
Week 3 (7/05 - 7/08)
Week 4 (7/11 - 7/15)
Week 5 (7/18 - 7/22)
Week 6 (7/25 - 7/29)
Week 7 (8/01 - 8/05)
Week 8 (8/08 - 8/12)
Week 9 (8/15 - 8/19)
Week 10 (8/22 - 8/26)
Total: