Spark Your Imagination Summer Camp
Registration

Please complete the following form to begin the registration process.

After clicking the submit button, You will automatically proceeD to the waiver and payment page.

Child's Name

First Name

Last Name

Child's Age and Grade Child Will be Entering This Fall

School District Attending

School Attending

Is the camper a Scout?

Yes

No

If Yes, What Scouting Level

Junior

Cadette

Scouts BSA

Parent or Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent or Guardian Cell Phone

(###)

###

####

Parent or Guardian Email

Select Session

Session 1 June 24-28

Session 2 July 8-12

Session 3 July 22-26

Camp 2.0 August 12-16

How did you hear about Spark Your Imagination Summer Camp?

Primary Emergency Contact Name

First Name

Last Name

Relationship to Child

Primary Emergency Contact Cell Phone

(###)

###

####

Secondary Emergency Contact Name

First Name

Last Name

Relationship to Child

Secondary Emergency Contact Cell Phone

(###)

###

####

Authorized Child Pick-up Contact #1 Name

First Name

Last Name

Authorized Child Pick-Up Contact #1 Phone

(###)

###

####

Authorized Child Pick-Up Contact #2 Name

First Name

Last Name

Authorized Child Pick-Up Contact #2 Phone

(###)

###

####

Spark Your Imagination Summer CampRegistration

Please complete the following form to begin the registration process.

After clicking the submit button, You will automatically proceeD to the waiver and payment page.

Spark Your Imagination Summer Camp
Registration