PARTICIPANTS NAME *

First Name

Last Name

DATE OF BIRTH *

MM

DD

YYYY

Select 6 weeks of Camp *

Week 1 - June 24-27

Week 2 - July 8-11

Week 3 - July 15-18

Week 4 - July 22-25

Week 5 - August 5-8

Week 6 - August 12-15

Week 7 - August 19-22

Week 8 - August 26-29

PARENT/GUARDIANS NAME *

First Name

Last Name

Phone *

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