Summer Adventures Signup

Registration closes on Friday, May 23, 2025.

Camp Selections*

Please choose all your camps from the list

Are you eligible for our discount?Yes, I am signing up for 6 weeks of camp. (-$450.00)

If you sign up for 6 weeks of camp before April 21, you will receive a discount for the value of 1 week of traditional camp ($450).

Which weeks do you need before (8-9:00) and/or after (4-5:00) care?*

Child's Full Name*

Parent/Guardian(s) Full Name(s)*

Parent/Guardian Conatct Phone #1*

Parent/Guardian Conatct Phone #2*

Parent/Guardian Email*

Additional Email (optional)

Street Address*

City*

State*

Zip Code*

Child's Age*

Child's Gender*MaleFemale

Rising Grade*

Does your child currently attend Charlotte Prep?*YesNo

If not, what school does your child attend?

Emergency Contact First and Last Name*

Emergency Contact Phone Number* - -

Emergency Contact Email Address*

Emergency Contact - Relation to child*

Please list any other people authorized to pick up your child*

Please list any medical conditions, including any required daily medication*

Is your child allergic to any type of food or medication?*YesNo

If yes, please explain:

Total Camp Cost$0.00

Payment Method:*

Payment Notes/Additional Info:

Name Associated with Payment:*

Email Associated with Payment:*

Credit or debit card*

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