Registration - Jr. Sr. High School Summer Camps

Participant Information

Are you a current member?

Participant:

Participant or member full name:

* required

Birth Date:

* required

Age:

* required

Address:

* required

City:

* required

State:

* required

Zip Code:

* required

Contact Person Information: (must be at least 18 yrs. of age).

Contact Person's Full Name:

* required

Relationship to participant? For example, parent, self, etc.

* required

Phone Number:

* required

Email address:

* required

Contact person is at least 18 years of age.

Payor's Information:

Payor's full name:

* required

Payor's phone:

* required

Program Information

Jr. & Sr. High School Fall/Winter Camps

Select a preferred location:

Select a preferred date:

Select a preferred time:

Select TWO days:

Monday

Tuesday

Wednesday

Thursday

Thank you for your registration, please submit below.

After submitting this Registration you will have the option to pay on line now, or the option to call us (during facility hours) and pay by phone or mail.