Camp Mirman 2023 Enrollment Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please enroll your child for the session/sessions of their choice. A non-refundable enrollment fee of $100 along with a $40 materials fee/session will be billed to your student account. The enrollment window for Mirman families will close on May 7. If you have any questions, please campmirman@mirman.org.

Email *

Student Last Name *

Will your child attend Mirman in 2023-2024? *

Yes

Student First Name *

Grade level in 2023-2024 *

Please select the session you are interested in enrolling (you may select more than one) *

Session One (6/26 - 6/30) - Lost in Space

Session Two (7/3-7/7) closed 7/4 - Changemakers

Session Three (7/10-7/14) - Around the World

Session Four (7/17-7/21) - Community Heroes

Session Five (7/24-7/28) - At the Beach

Session Six (7/31-8/4) - Animal Planet

Required

I agree to pay the $100 non-refundable enrollment fee and the $40/session materials fee for the number of sessions my student is enrolled. *

Yes

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of The Mirman School. Report Abuse

Forms