Registration Form

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Email Address

Parent/Guardian's Cell Number

Parent/Guardian's Physical Address

- - - - -

Camper's First Name

Camper's Last Name

Camper's Age

Camper's Grade ( K - 5 Only )

Camper's Physical Address

Select Schedule

Which days will your child be joining us? Please select daily schedule - $55 / day - ( Weekdays Only - 8am - 4pm )

FULL WEEK ( SAVE $50 ) - Please select schedule

January 12 - 16US$225

January 19 - 23US$255

How did you hear about our track out camp?

Instagram

Facebook

From a friend

From a flyer

Questions or Comments...