Summer Camp Registration 2024

Assalamu Alaikum,

Please complete the form below to register your child for our Summer Camp! Summer camp is a 7 week camp that begins June 18th-Aug 4th. Summer Camp hours are 8am-4pm. Please register your child for the weeks you would like them to attend. We are limited with capacity and registration is first come first serve.

Students must be rising KG-3rd grade for the 2024-2025 school year.

Please Note: We are closed June 17th for Eid and July 4th.

NO REFUNDS once registered.

Please note: Field Trips will be an additional cost and shared with parents once trips are confirmed.

Student #1 Full Name*

Answer Required

Student #1 Grade*

Answer Required

1st Grade

2nd Grade

3rd Grade

Student #2 Full Name

Answer Required

Student #2 Grade

Answer Required

1st Grade

2nd Grade

3rd Grade

Student #3 Full Name

Answer Required

Student #3 Grade

Answer Required

1st Grade

2nd Grade

3rd Grade

Parent #1 Full Name*

Answer Required

Parent #1 Phone Number*

Number Required

Parent #2 Full Name*

Answer Required

Parent #2 Phone Number

Number Required

Emergency Contact Name*

Answer Required

Emergency Contact Phone Number*

Number Required

Authorized Pick-Up: Please provide name(s) of all authorized individuals who can pick up your child.*

Answer Required

Payment is required for each registered week.

Quantity

June 18-21