Parent Name *

First Name

Last Name

Phone *

(###)

###

####

Student Name *

First Name

Last Name

Student Date of Birth

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose your session:

All Camper must pay a deposit fee before starting their first day of camp)

Camper Down Deposit ($100.00 USD)

Week 1: June 5th - 9th ($275.00 USD)

Week 2: July 10th - 14th ($27500 USD)