Summer Camp Online Registration

Summer '08 Camper Registration
Two Week Half-Day Program: Ages 7-12
July 7-10 and July 14-17
9 am - Noon on Monday - Thursday for two consecutive weeks

Camper First Name:
Camper Last Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Age:
E-mail Address:
Health Accident Insurance Co.:
Policy #:
Emergency Contact Name:
Emergency Contact Phone: