Summer Camp Registration

June 3 - August 23, 2019

Fill out this form to register. Clubhouse staff will contact you to arrange for payment.

Type your child's first name.

Type your child's last name.

Choose your child's sex.

/ / Enter your child's birthdate.

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You must enter the camp length.

You must state whether you will purchase lunch.

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Type your full name.

Enter a valid email address.

Enter a valid phone number.

Enter a valid phone number.

Enter your address, including ZIP code.


Occasionally, we take pictures of students in our programs to celebrate an achievement, capture a moment with a group or snap a great action shot. We would like to have your permission to post to our website or social media. It's your choice.
Select whether you give permission for your child's picture or video to be used or not.

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You must agree to the Terms & Conditions.

You must check the box.