Home Address (for closest pick up location of camp materials) *
Your answer
Parent/Guardian's Name (First, Last) *
Your answer
Parent/Guardian's Cell Phone *
Your answer
Second Parent/Guardian's Name (First, Last)
Your answer
Second Parent/Guardian's Cell Phone
Your answer
Select the weeks (each theme is two weeks) *
Required
Fees ($30/ 2 weeks + $10 one time admin fee per family) (If permitted for outdoor activities, we will collect additional field trip fees for kids attending optional field trips) *