Registration form

Campers Name

First Last

Parent/Guardian Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone Number

Grade of Camper

Age of Camper

Emergency Contact:

Name

First Last

Phone

relationship

Food allergies

What camp they are signing up for (besure to allow them to sign up for as many as they would like.

Handwriting Camp - June 17-20

Visual Beats Camp - June 24-27

Sports Vision Camp - July 10-13

Ability Level

Special needs

Average skilled

Advance skilled

Any Additional information we need to know about your camper?

" A member of our team will reach out to review your registration, answer any questions and collect payment"