Camp	Hours	Rate
Swim Camp	11am-2pm	$325

SELECT WEEK(S)

April 6-10

June 8-12

June15-19

June22-26

June 29-July 3

July 6-10

July 13-17

July 20-24

July 27-31

Aug 3-7

*Week of June 30-July 3 prorated $260. Cancellation fee: $75 per child, per week.

Camper Last Name *

First Name *

Age *

Water Safe *

MEDICAL CONCERNS/ALLERGIES *

EPIPEN *

Camper Last Name

First Name

Age *

Water Safe *

MEDICAL CONCERNS/ALLERGIES *

EPIPEN *

Camper Last Name

First Name

Age *

Water Safe *

MEDICAL CONCERNS/ALLERGIES *

EPIPEN *

Camper Last Name

First Name

Age *

Water Safe *

MEDICAL CONCERNS/ALLERGIES *

EPIPEN *

Parent(s) Names or Legal Guardian *

Email Address *

Address *

City *

ZIP *

Primary Contact Phone *0 / 10

Alternate Phone *0 / 10

Signature *

Date *

Balance Due

Choose Payment Method *Pay with Zelle(After form submission)Pay with Credit Cards

Have Coupon Code?

Apply $15 Discount

Calculations

Credit / Debit Card 3% extra charges. *

Please Note