Parent/Guardian Name - First & Last (required):

Email (required):

Telephone (required):

Street Address (required):

City, State/Province, Postal Code (required):

Name Camper 1 (required):

Date of Birth Camper 1 (required):

Name Camper 2:

Date of Birth Camper 2:

Please register my camper (s) for the following weeks (required): Week 1: May 31-Jun 3*;Week 2: Jun 6-10;Week 3: Jun 13-17;Week 4: Jun 20-24;Week 5: Jun 27-Jul 1;Week 6: Jul 5-8*;Week 7: Jul 11-15;Week 8: Jul 18-22;Week 9: Jul 25-29;Week 10: Aug 1-5;Week 11: Aug 8-12;Week 12: Aug 15-19;

How did you hear about us?:

Comments (if necessary):