Camper Extension Form

experience the summer of your lifetime

We will send out an acceptance letter and invoice shortly after we receive your registration.

Please enter the following details
Name of Camper*
First Last
My child is already registered for weeks:*
- 1
- 2
- 3
- 4
I would like to add weeks:*
- 1
- 2
- 3
- 4
Weekly tuition is:*

($195/week)
Weekly lunch is:*

($15/week)
I want Early care:*

($25/week)
I want to add After Care:*

($25/week)
Extra Activity Details
I want to add the following extra activity:*
I want to add the following extra activity for:*
Total Payment
Please charge my card a total of:*
Total
Price: $0.00
Comment
Payment Details
Email*
Phone*
Billing Address*
Street Address Line 2 City State Zip Country
Parent's Name*
First Last
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
Credit Card Info*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.