Summer 2023 Enrollment – 2nd – 5th Grade

Summer 2023 Enrollment
2nd – 5th Grade

Child's Information


Parent 1 Information

Parent 2 Information

Emergency Contact Information


Child's Medical Information

Child's Behavioral Information

Payment Details (Please make sure that your selected options above corresponds with the correct deposit(s) below) *EXAMPLE Clicking 3 separate weeks of camp would correspond with "3 Weeks of Summer Camp Registration Deposit" below*

Total $ 0

Choose the deposit selection for the total number of each selection you have chosen

Example: 2 Camps, 1 Social Skill Group, 3 Barn Saturdays (See image below)

*Please note if the wrong selection is made you will be charged accordingly after we have processed all forms