Star Wars Summer Camp

Parent/Guardian Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * Cell Phone:

Camper Information

• * First Name:
• * Last Name:
• * Who is authorized to pick up this child?
   characters remaining
• Please list any special/medical needs this child has:
   characters remaining
• * School your child attends:
• * Grade this child will be in during the 2022-23 school year:
• *

  Does this child need a library card?

  • yes
  • maybe
  • no

Additional Camper Information

You may add a maximum of 6