Purchase Day Camp | Mini Camp

Last:

First:

Birthdate:

Street:

City:

State: Zip:

Home Phone:

Gender: Boy / Girl

Grade 2025-26:

School 2025-26:

Special Placement Requests: Camper/Friend:

Grade Level (if different from above):

Allergies, Medical Conditions, or Special Needs if any?

2025 Mini Camp Fees:

	Mini Camp 2025 Fees		Discounted Fees for Enrolled 2025 Purchase Day Campers
Program	Mini Day	Full Day	Mini Day	Full Day
Hours	9am-1pm	9am-3pm	9am-1pm	9am-3pm
Weekly Fee	$795	$925	$565	$695
All 3 Weeks	$2,235	$2,625	$1,545	$1935

Please select Program for each week below.

A $150 discount will be applied if attending for all 3 weeks.

If not attending for a specific week, select "Not Attending" for that week.

If you are choosing a "camper discount" option, this child must enrolled in the 2025 Purchase Day Camp.

Week 1: June 9-13

Week 2: June 16-20

Week 3: June 23-27

Mother or Guardian Contact Information:

Name:

Home Phone (if different from camper):

Address (if different from camper):

Cell Phone:

Business Phone:

Email Address:

Father or Guardian Contact Information:

Name:

Home Phone (if different from camper):

Address (if different from camper):

Cell Phone:

Business Phone:

Email Address:

Approve Release Form

I agree to all the conditions in the Release document below. (Click to enlarge)

Approve Enrollment Policies

I agree to all the conditions in the Enrollment Policies document below. (Click to enlarge)

2025 Mini Camp Enrollment Application

or complete the Guest Application below.

Fill out the Mini Camper Application below and click "Update Changes" at the bottom of the form to continue.

Please select Program for each week below.

Mother or Guardian Contact Information:

Father or Guardian Contact Information:

Approve Release Form

Approve Enrollment Policies

Total: $0