Parent's Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

I would like to register my son/daughter for the following weeks *

Week 1: June 23 - June 27

Week 2: June 30 - July 3

Week 3: July 7 - July 11

Week 4: July 14 - July 18

Week 5: July 21 - July 25

Week 6: July 28 - August 1

Week 7: August 4- August 8

Week 8: August 11 - August 15

Week 9: August 18 - August 22

Accept *

By checking here I accept I will pay 50% of the total fee as a non-refundable deposit. The total fee will be the regular weekly fee multiplied by the number of weeks selected.