Summer Camp Registration

No substitutions for packages please.

Member Number/Sponsor's Member Number *

Child's First Name *

Child's Last Name *

Click here if child is a non-Member

Phone Number *

Secondary Phone Number *

Parent/Guardian Full Name *

Parent/Guardian Email Address *

Please list the first and last names of up to four people that you give permission to be an authorized pick-up person: *

Child's Birthdate *

My child is... *

	Rising 4th-6th Grade
	Rising K-3rd Grade

Male or Female *

Female

Male

Does your child have any special dietary consideration? *

Please list any allergies, diseases, or medical problems we should be aware of.

No substitutions for packages please.

My child is...

	an independent swimmer
	in need of floaties

No substitutions for packages please.

By checking this box, I hearby acknowledge that I have read the Cancellation Policy, Release Form, Camp Procedures & Policies, and I understand and agree to the terms releasing claims and legal rights. *

Your Name *

Your Email Address *

* Denotes Required Field

Submit

	a. June 13-17: Science Camp FULL DAY (9AM-4PM)
	b. June 13-17: Science Camp HALF DAY (9AM-12PM)
	c. June 20-24: Sports Camp FULL DAY (9AM-4PM)
	d. June 20-24: Sports Camp HALF DAY (9AM-12PM)
	e. June 27-July1: Amazing Race Camp FULL DAY (9AM-4PM)
	f. June 27-July1: Amazing Race Camp HALF DAY (9AM-12PM)
	g. July 11-July 15: Campers Camp FULL DAY (9AM-4PM)
	h. July 11-July 15: Campers Camp HALF DAY (9AM-12PM)
	i. July 18-July 22: Master Chef Camp FULL DAY (9AM-4PM)
	j. July 18-July 22: Master Chef Camp HALF DAY (9AM-12PM)
	k. July 25-July 29: Animal Camp FULL DAY (9AM-4PM)
	l. July 25-July 29: Animal Camp HALF DAY (9AM-12PM)
	m. August 1-August 5: Time Travelers Camp FULL DAY (9AM-4PM)
	n. August 1-August 5: Time Travelers Camp HALF DAY (9AM-12PM)
	o. August 8-August 12: Weird-lympics FULL DAY (9AM-4PM)
	p. August 8-August 12: Weird-lympics HALF DAY (9AM-12PM)