Child's Information

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Age

Gender

Week Packages

View our Camp Deals and Rates on the Navigation bar.

Apply Sibling Discount (10% off)

Check the box only if you have registered a child previously to receive the sibling discount.

I have registered another child previously and satisfy the terms for the sibling discount.

Starting Date and Ending Date

Please add your child's starting date and ending date based on the week package selected (ex: June 16 - July 4)

Parent/Guardian Information

Name

First Name

Last Name

Relationship to Child

Phone Number (Primary)

(###)

###

####

Phone Number (Secondary)

(###)

###

####

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country