Please note that you should fill this form and make a payment for your registration to be complete.
#1. Name of Student (First and Last name) *
Your answer
#2. Age *
Your answer
# 3. Gender
Your answer
#4. Name of Parent or Legal Guardian (First and Last name) *
Your answer
#5. Home Address (Number, Street, City, State and Zipcode) *
Your answer
#6. Email Address (Preferred for camp related correspondence) *
Your answer
#7. Do you need after care (Before 9 AM and/or After 4 PM). If Yes, please describe. (We will contact to arrange for these care.)
We will only use this email address to confirm your registration payment
Your answer
#8. Contact Phone Number *
Your answer
#9. Which week/s are you registering for? *
Required
Total Payment Amount (USD $)
Your answer
Mode of Payment
Clear selection
#10. How did you find out about this camp?
Your answer
Please make sure to make your payment for this camp. Your registration will only be complete after we receive your payment. You will receive a confirmation email after we receive your registration form and payment. Thank you!