Drop In Camp Enrollment Form

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

Step 1: Enroll your child as a Drop-in Camper by completing this form

Step 2: Pay the $100 registration fee. Once you enroll we will add you to Lillio (formally Himama) and invoice you for the registration fee. You will not have access to the Drop In Camp sign up until the registration fee is paid.
Step 3: Sign your child up for specific days and locations. The Drop In Camp rate is $30/day. We will use a punch card system to track the days that you use

Locations & Sign-ups Published/Open for Sign-up Apr 11, 2024

Step 3: Attend our camp open house day! This is when you will turn in all paperwork, purchase punch cards, pick up your camp shirt and ask questions

Questions? Reach out to camp@brightpathactivelearning.com

Email *

Name of Primary Contact *

Phone Number *

Street Address *

City *

State *

Zipcode *

Name of Secondary Contact

Phone Number

School your camper attends? *

Camper's Name *

Camper's DOB *

YYYY

Grade your child is entering in Fall 2024 (while most of our campers are entering 1st-3rd grade, you are welcome to enroll your 4th or 5th grader) *

Entering 1st

Entering 2nd

Entering 3rd

I have a 4th or 5th grader that would like to come

Any notes, special needs (dietary, allergies, medications, accommodations, etc.)?

Emergency Contact Name (other than parent) *

Emergency Contact Phone Number *

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 BrightPath Active Learning. Report Abuse

Forms