Summer Camp Registration

Parent Name

First Name

Last Name

Email

Phone

(###)

###

####

Rider #1

First Name

Last Name

Rider #2

First Name

Last Name

Rider #3

First Name

Last Name

1st choice

Each Week is from 9 AM to 4 PM Monday - Thursday

2nd choice

Each Week is from 9 AM to 4 PM Monday - Thursday

3rd choice

Each Week is from 9 AM to 4 PM Monday - Thursday

Any Physical Limitation or Allergy's

$400 Each Rider ( Sibling/Referral discount $25 each)

$

*** Please note child’s name and camp week your paying for ***

Required Forms

Please make sure you fill out all your forms and email them or bring them the first day of camp.

Full payment of $400 is required to secure spot.

Last year's forms are not acceptable to admit your child to camp. All post office mail should be addressed to: 1295 Masten Ave. Gilroy, 95020