July 7-11 Summer Camp Registration

Please Complete One Form Per Child

Parent First Name

Parent Last Name

Email*

Address

Phone (Enter 1 then your number. Ex: 17576341045)

Child Name and Age (Ages 7 to 12 Only)

July 7-11 Registration Fee - Payment must be received to secure enrollment.

$300

757-634-1045

19500 Horse Shoe Road Charles City, VA 23030

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