Child's Birthday *

MM

DD

YYYY

Current Program *

2-Day

3-Day

4-Day

JK

Register for Which Week(s) of Camp? *

Select the box next to each week of camp you are signing your child up for. You can sign up for one week, two weeks, or all three weeks.

Week 1: June 9-12 ($300)

Week 2: June 16-19 ($300)

Week 3: June 23-26 ($300)

Child's T-Shirt Size *

One Park West t-shirt will be provided for each camper. We ask that campers wear a camp t-shirt every day they are at camp. You may pre-order extra t-shirts for $20/shirt.

2

3

4

5-6

Phone *

(###)

###

####

We intend to pay via *

Zelle

Personal Check

PayPal

Venmo