SUMMER CAMP registration

Please enter the registrant's last name only
Mother's contact information
Mother's name *
Mother's name
Cell
Cell
Father's contact information
Father's name *
Father's name
Cell
Cell
Address & home phone
Home phone *
Home phone
Address *
Address
First Student
Name *
Name
Date of birth *
Date of birth
Second student
Name
Name
Date of birth
Date of birth
Third student
Name
Name
Date of birth
Date of birth
PLEASE CLICK & READ THE "SPLASHVILLE POLICIES" BELOW, BEFORE SUBMITTING THE FORM. *