Program Start/End Dates:  June 4, 2018 - August 10, 2018
Monday through Friday, 7:30 AM to 6:00 PM

* 1. Please select the Club Location your child will be registered at for the 2018 Summer Program:

* 2. Club Member's First & Last Name:

* 4. Club Member's Date of Birth:

*Must be at least 6 years old to participate in our Summer Program

* 5. Club Member's Gender:

* 7. Parent/Guardian Info

* 9. For those who qualify for Free/Reduced Lunch, you must provide documentation from the school district in order to receive the discounted program rate.  You may upload the file here or scan/email it to:  

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 10. Payment Instructions:  Once you've completed this pre-registration survey, please go to our website to make a payment using our secure PayPay link.  Once we receive your payment, our office will follow up to confirm your registration.  

Before you click the "DONE" button at the bottom of this page please COPY this link so that you have access to our payment page.  Please email Ronna at if you need additional help accessing our PayPal link.