Summer Camp Registration

Please fill out this registration form. You can fill out one form for all your children with the same last name, please list all their first names. Also, please only click the register button once. After registering you will be taken to a page to select and pay for the different weeks of camp. With out payment we can not guarantee a spot for you child. Thanks we look forward to an exciting summer.

Please note that all fields followed by an asterisk must be filled in.
Membership Number
Child's First Name*
Child's Last Name*
Date of Birth*
Street Address*
City*
State/Prov*
Zip/Postal Code*
E-mail Address*
Home Phone*
Business Phone
Cell Phone
Emergency Contact if Parent Unreachable
Emergency Contact Phone
Adult Contact*
Relationship to Child*
The following people can pick up my child*
Swimmer*
Liability Waiver*
I Have Read and Agree to the Liability Waiver
Camp Guidelines*
I will print and bring a signed copy of the Camp Guidelines
Additional Notes

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