If you are interested in enrolling a student for our 2016 Summer Day Camp, complete the form below. We will reserve a space and send you further details.  

Parent / Legal Guardian
Parent / Legal Guardian
Street Address
Street Address
Cell or daytime phone
Cell or daytime phone
Home phone
Home phone
How did you hear about us?
Student 1
Student 1
Student 2
Student 2
Student 3
Student 3
Use this section to include anything you wish to add.