Summer Camp Interest Form Parent/Caregiver Name * First Name Last Name Email * Please use the same email address provided on the camp application. Child's Name * First Name Last Name Child's Date of Birth * MM DD YYYY Please select your top two preferred weeks: * June 2 to 6, 2025 June 9 to 13, 2025 June 16 to 20, 2025 June 23 to 27, 2025 Would your child be able to attend all 5 days of this camp? * Yes No Thank you! Your application has been submitted.As part of our process, we will be emailing some families a comprehensive Needs Assessment Form for additional information. Completing this form will be required to help us ensure we can provide the best experience for your child.We appreciate your interest and will be in touch soon with next steps!
