Name *

Parent/Guardian name

First Name

Last Name

Phone

Parent/Guardian mobile

(###)

###

####

Age Group

Kids (6 - 7yrs)

Tweens (8-12 yrs)

Teens (13-17 yrs)

Select week(s)

Week 1 (July 8-12) KIDS/TWEENS/TEENS

Week 2 (July 15-19) KIDS/TWEENS/TEENS

Week 3 (July 22-26) KIDS/TWEENS/TEENS

Week 4 KIDS/TWEENS(July 29-Aug. 2)

Week 4 TEENS (July 29-Aug 2)

Week 5 - SHORT WEEK (Aug 6-9) KIDS/TWEENS/TEENS

Week 6 (Aug. 12-16) KIDS/TWEENS/TEENS

Week 7 TWEENS (Aug. 19-23)

Week 7 TEENS ONLY (Aug. 19-23)

Do you require extended hours? *

YES

NO