Summer Activity Camp Booking Form

Name

First

Last

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Name of child

First

Last

Age of child

Does your child have any allergies/medical conditions we need to be aware of?

Please provide emergency contact details

Which day/days would you like to book in Week 1 / 2? (Book a full week to secure your discount)

Which day/days would you like to book in Week 3 / 4? (Book a full week to secure your discount)

Which day/days would you like to book in Week 5 / 6? (Book a full week to secure your discount)

Which day/days would you like to book in Week 7 / 8? (Book a full week to secure your discount)

Where did you hear about the Activity Camps?