Parent/Guardian Name *

Cell Phone Number for Parent/Guardian *

Parent/Guardian Email Address *

Child #1 Name *

Child #1 Grade (2020-2021 school year) *

3rd grade 4th grade 5th grade

Please select the grade your child will complete in May 2021

Child #2 Name

Child #2 Grade (2020-2021 school year)

3rd grade 4th grade 5th grade

Please select the grade your child will complete in May 2021

Child #3 Name

Child #3 Grade (2020-2021 school year)

3rd grade 4th grade 5th grade

Pay Kids Camp Deposit

$

$60.00 each

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