You may register online by completing the form below; to register by mail, please download the PDF Registration Form:
PDF Download Registration Form [PDF, 100kb]
 

*Please complete all required fields below. TO SECURE YOUR CHILD'S RESERVATION, PAYMENT MUST BE RECEIVED ALONG WITH REGISTRATION FORM METHOD (if online, please pay via Paypal; if by mail, please include check or money order):

Step 1 of 2: Submit Registration (One form per camper, please)


Registration Info:
(A confirmation e-mail will be sent to the address you provide below)

Your Name:

Your E-mail:


Camper Info:

Sex:

First Name:

Last Name:

Camper's Phone:

Date of Birth:

Age at Camp:


Camper's Address:

Street / Apt:

 

City:

State:

ZIP:


Parent(s) / Guardian Info:

Father / Guardian:

Home Phone:

Work Phone:

Cell Phone:

E-mail:

 

 

Mother / Guardian:

Home Phone:

Work Phone

Cell Phone:

E-mail:


Preferred Sessions:

Session 1: May 24-May 28 Session 6: June 28-July 2
Session 2: June 1-June 4 Session 7: July 6-July 9
Session 3: June 7-June 11 Session 8: July 12-July 16
Session 4: June 14-June 18 Session 9: July 19-July 23
Session 5: June 21-June 25 Session 10: July 26-July 30  

Registration Fee(s):

Single Camper, $75
Family Registration, $125
I have already paid the registration fee(s).
 

Total:

(NOTE: You do not have to pay the entire total all at once;
you will be able to pay week to week!)