Camp Registration

Complete this form once for your family, then finish payment securely in Stripe Checkout.

Camp

Session: Oct 12, 2026 - Oct 12

Daily Time: 9:00 AM - 3:00 PM

Cost: $105 per child

Parent / Guardian NameParent EmailParent Phone

Number of Children

Child 1

Full NameAge

Allergies / Special Notes (optional)

Authorized Pick-Up

List the name and phone number of each person authorized to pick up your child(ren).

Authorized Pick-Up Name(s) and Phone Number(s)

Additional Family Notes (optional)

Waiver + ConsentI confirm I have read and accept the liability waiver and medical consent terms.I consent to optional photo/video usage for program promotion.Typed Signature (Parent/Guardian Full Name)