*First Name

*Last Name

*Child's Name

*Childs Date of Birth

Address

City

Zip Code

*Home Phone

Alternate Phone

*E-Mail Address

*Request For Summer Camp Professional Camp Birthday Party

Summer Camp Session June 21-25 July 6-10 July 12-16 July 19-23 July 26-30 August 2-6 August 9-13 August 16-20 August 23-27

Camp Schedule Half-Day Full-Day

Birthday Time Saturday 2-4 p.m. Saturday 4-6 p.m. Saturday 6-8 p.m. Sunday 12-2 p.m. Sunday 2-4 p.m. Sunday 4-6 p.m. Sunday 6-8 p.m.
Select your preferred time.

Date Reqested
Parties are held on Saturday and Sunday

*Enter Security Code

*Required