B.A.S.E. Summer Camp Registration

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Parent Contact Information:
First Name REQUIRED Please fill out this field. Please enter valid data.

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Address Please enter valid data.
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Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Preferred language for communication: English Spanish
Preferred method of contact: Email Phone
Emergency Contact Information:
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STUDENT INFORMATION:
1. Child's Name Please enter valid data.
Allergies Please enter valid data.
Grade entering Fall 2023
Attendance Options: Full Day 7:30-5:30PM (5 days per week) Half Days 9:00-1:00PM (5 days per week includes lunch) Half Days 9:00-12:00PM (5 days a week) Single Day(s) Please fill out days needed in space below
Single Camper day(s) needed: Please enter valid data.
Which camp(s) will your child be attending? June 12th-16th - Ocean Exploration Week June 19th-23rd - Hawaiian Week June 26th-30th - Space & Weather Week July 10th-14th - Dinosaur Week July 17th-21st - Animals, Reptiles & Raptors Week July 24th-28th - All Around The World Week July 31st-August 4th - Water Week August 7th-11th - Fantasy & Fairy Tales Week August 14th-18th - Art Week August 21st-25th - Free/Fun Week
2. Child's Name Please enter valid data.
Allergies Please enter valid data.
Grade entering Fall 2023
Attendance Options: Full Day 7:30-5:30PM (5 days per week) Half Days 9:00-1:00PM (5 days per week includes lunch) Half Days 9:00-12:00PM (5 days a week) Single Day(s) Please fill out days needed in space below
Single Camper day(s) needed: Please enter valid data.
Which camp(s) will your child be attending? June 12th-9th - Ocean Exploration Week June 19th-23rd - Hawaiian Week June 26th-30th - Space & Weather Week July 10th-14th - Dinosaur Week July 17th-21st - Animals, Reptiles & Raptors Week July 24th-28th - All Around The World Week July 31st-August 4th - Water Week August 7th-11th - Fantasy & Fairy Tales Week August 14th-18th - Art Week August 21st-25th - Free/Fun Week
3. Child's Name Please enter valid data.
Grade entering Fall 2023
Allergies Please enter valid data.
Attendance Options: Full Day 7:30-5:30PM (5 days per week) Half Days 9:00-1:00PM (5 days per week includes lunch) Half Days 9:00-12:00PM (5 days a week) Single Day(s) Please fill out days needed in space below
Single Camper day(s) needed: Please enter valid data.
Which camp(s) will your child be attending? June 12th-16th - Ocean Exploration Week June 19th-23rd - Hawaiian Week June 26th-30th - Space & Weather Week July 10th-14th - Dinosaur Week July 17th-21st - Animals, Reptiles & Raptors Week July 24th-28th - All Around The World Week July 31st-August 4th - Water Week August 7th-11th - Fantasy & Fairy Tales Week August 14th-18th - Art Week August 21st-25th - Free/Fun Week
4. Child's Name Please enter valid data.
Allergies Please enter valid data.
Grade entering Fall 2023
Attendance Options: Full Day 7:30-5:30PM (5 days per week) Half Days 9:00-1:00PM (5 days per week includes lunch) Half Days 9:00-12:00PM (5 days a week) Single Day(s) Please fill out days needed in space below
Single Camper day(s) needed: Please enter valid data.
Which camp(s) will your child be attending? June 12th-16th - Ocean Exploration Week June 19th-23rd - Hawaiian Week June 26th-30th - Space & Weather Week July 10th-14th - Dinosaur Week July 17th-21st - Animals, Reptiles & Raptors Week July 24th-28th - All Around The World Week July 31st-August 4th - Water Week August 7th-11th - Fantasy & Fairy Tales Week August 14th-18th - Art Week August 21st-25th - Free/Fun Week

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B.A.S.E. Summer Camp Registration

Parent Contact Information:

Emergency Contact Information:

STUDENT INFORMATION: