Summer Camp Registration Child InformationSummer Camp is open to rising kindergarten through 5th grade.Child Name* First Last Age*Gender*MaleFemaleLast grade completed*School Name*Parent / Guardian InformationMother / Guardian Name* First Last Father / Guardian Name First Last Email Address* Home PhoneCell PhoneEmergency InformationEmergency Contact* First Last Phone*Allergies or Medical InformationDoes child carry an Epi-Pen?*NoYesWho has permission to pick up child?*Use the + icon to add additional names. Who does NOT have permission to pick up child?Use the + icon to add additional names. Special needs or other information to share with camp directorsCamp InformationCamp cost is $70/week per child. Please check the camps you are registering for.Camps* Select All Fun & Fitness Camp (June 24-28) LEGO (July 15-19) Art Camp (July 29 - Aug 2) NameThis field is for validation purposes and should be left unchanged.