EmailMe Form - Summer Camp Enrollment Form 2023

Summer Camp Enrollment Form 2023

Child Name *
First Last
Child's Age *
Child's Level
Beginner
Advanced Beginner
Intermediate
Advanced
Parent Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *
Parent Cell Phone *
Emergency Contact Phone *
Preferred Week
Week 1 (June 26-30)
Week 2 (July 3-7)
Week 3 (July 10-14)
Week 4 (July 17-21)
Week 5 (July 24-28)
Week 6 (July 31-Aug 4)
Week 7 (August 7-11)
Week 8 (August 14-18)
Week 9 (August 21-25)
Week 10 (August 28-Sep 1)
I agree to the Terms of Service *
Yes
No