Camp Registration

Camp details go here! Summer camp is for children ages 5-12 years old. Please complete the registration and payment form below. If you have any questions, contact [INFORMATION]. Camp is located at [ADDRESS HERE].
Monday - Friday
Morning Session: 8:00am - 11:00am
Break for Lunch: 11:00 - Noon
Afternoon Session: 12:00 - 4:00pm

Week 1

Activity Description

Morning Session + $50.00
Afternoon Session + $50.00
Full Day + $100.00
Not Attending this Week

Week 2

Activity Description

Morning Session + $50.00
Afternoon Session + $50.00
Full Day + $100.00
Not Attending this Week

Week 3

Activity Description

Morning Session + $50.00
Afternoon Session + $50.00
Full Day + $100.00
Not Attending this Week

Week 4

Activity Description

Morning Session + $50.00
Afternoon Session + $50.00
Full Day + $100.00
Not Attending this Week

Contact Information

Child Information

Parent/Guardian Information

Billing Address

* Country

* State/Province

Sub Total

$0.00

TOTAL

$0.00

Payment Method

Sample Payment

* Credit Card Type

* Exp Month

* Exp Year

I understand that the highest priority of [SUMMER CAMP] is the safety and well-being of the campers and staff. From time to time there may be situations or circumstances are not safe in the opinion of the camp director, nor are they suitable for the well being of campers and staff. Therefore, staff reserves the right to make decisions about enrollment and participation in activities and programs. All fees are non-refundable.

Thank you for contacting us!

We have received your message and will contact you shortly

View Submission