2026 Summer Camp Application
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2026 Summer Camp Application

Student Information

Student Name(Required)
MM slash DD slash YYYY
Primary Contact Name(Required)

Health and Wellness

To help us provide the best care, please be specific in the sections below.
(Please list all allergies or specific dietary needs, e.g., Gluten-Free, Dairy-Free, Nut Allergy)
(List any medications that will require administration during camp hours)
(Please specify any physical, developmental, or behavioral accommodations needed, including the level of support required)

Program Preferences

We offer specialized tracks for our afternoon workshops. Please select your student’s top preference below
Extracurricular Activity Preference(Required)

Attendance Policy & Participation

Field trips are a highlight of our summer program. To ensure the safety of our group and the continuity of our curriculum, we enforce a strict attendance policy.
Attendance Acknowledgment(Required)

Emergency Contact

Name(Required)