All Fields are required, the form will not work unless all fields are filled in

First Name

Last Name

Address

City

State

Zip

Telephone

Gender: Male     Female

Age

Grade (Next Fall)

Email Address

Parent's Email Address

School

Payment:

$475 - Residential Early  (Paid in full by April 1st)

$525 - Residential  (Paid in full by June 1st)

$600 - Residential Late  (Paid after June 1st)

$275 - Day Camper Early  (Paid in full by April 1st)

$300 - Day Camper  (Paid in full by June 1st)

$350 - Day Camper Late  (Paid after June 1st)

Room Requests (optional)

Events (optional):       1st Choice:  event 1 high jump long jump pole vault sprints triple jump distance mid distance hurdles shot put discus javelin hammer            personal best:
                                        2nd Choice: event 2 high jump long jump pole vault sprints triple jump distance mid distance hurdles shot put discus javelin hammer            personal best:
                                        3rd Choice:  event 3 high jump long jump pole vault sprints triple jump distance mid distance hurdles shot put discus javelin hammer            personal best:

*Note: you will not be limited to your event choices here, they are for staffing / facilities purposes only