Online Registration Process

To register your child for summer camp or classes, please fill out the form below and select the “Buy Now” button.

Students are registered once full payment is received. Students, who cancel their registration, transfer classes or request a credit, must do so no later than seven days prior to the first class. A $15.00 cancellation fee will apply. After this time, no refunds are available.

Please fill out the registration form below.

Class/Program Name*:

STUDENT INFORMATION:

Student Name*:

Date of Birth (required):
/ /

Address*:

City-State-Zip*:
- -

Phone*:

Name of School*:

Grade*:

PARENT/GUARDIAN INFORMATION:

Parent/Guardian Name*:

Parent(s) Cell Phone*:

Parent(s) Work Phone:

Parent(s) Home Phone:

Parent(s) Email*:

Emergency Contact*:

MEDICAL INFORMATION

Primary Care Physician*:

Primary Care Phone*:

Medical Concerns/Allergies:

Child may be picked up by the following person(s):

Person Completing Registration Name*:

Please Enter Code Below:*
captcha

 Proceed to online payment processing.