Summer Camp Registration – Member Discount

Kids' Summer Camp Member Discount

Parent Name(Required)

First Last

Phone(Required)

Email(Required)

Additional Emergency Contact Name

First Last

Additional Emergency Contact Phone

Child's Name(Required)

First Last

Age(Required)

Medical Restrictions/Allergies(Required)

Shirt Size(Required)

Youth X Small

Youth Small

Youth Medium

Youth Large

Youth X Large

Please list name/phone number of additional authorized pick up personnel:

Will you be signing up for extended childcare (after 3pm-6pm, $50/week)?(Required)

Yes