Which sessions are you signing up for? *

If signing up for full days, please select both morning and afternoon.

July 1-4 Mornings (Music and Dance)

July 1-4 Afternoons (Music and Dance)

July 8-11 Mornings (STEM)

July 8-11 Afternoons (STEM)

July 15-18 Mornings (Art)

July 15-18 Afternoons (Art)

July 22-25 Mornings (Nature)

July 22-25 Afternoons (Nature)

Child's Name *

First Name

Last Name

Child's Date of Birth *

Must be between the ages of 3 and 5 at the time of the program (Ages 2 years 9 months-3 years will be considered on a case-by-case basis)

MM

DD

YYYY

Parent/Guardian 1 *

Name

First Name

Last Name

Phone *

(###)

###

####

Parent/Guardian 2 (Optional)

Name

First Name

Last Name

Phone

(###)

###

####

Which parent/guardian should I contact? *

Parent/Guardian 1

Parent/Guardian 2