Child Name

Please enter the name of the child attending here

First Name

Last Name

Primary Parent/Guardian Name Here *

Please enter the name of the parent/guardian responsible for child here

First Name

Last Name

Second Parent/Guardian Name Here (optional)

Please enter an additional name of a parent/guardian responsible for child in the event we cannot contact the primary

First Name

Last Name

Phone Number *

Please enter the best number to contact in case of emergency here

(###)

###

####

Please enter your email for program updates here

Which sessions do you plan on attending? *

Please select which session your child will register for

Type In Name Here To Confirm You Understand The Information Below *

You will need to complete a registration form for each child who will be participating. Once you have completed the form you will need to pay: - the $30 registration fee (must be paid at the time you submit the registration) - the one session payment of $275 (this is for one week and must be paid in advance) - if your child is attending more than one session the cost per week is $250 in advance **Only ages 7-12 are eligible to register and attend. Registration is non-refundable**