Summer Fun Nights 2026 Registration

Please fill out a NEW form for each student

Child's Name

Allergies?

Date of Birth:

Grade Completed:

Dates Attending (check each date)

Mon/July 20 Tues/July 21 Wed/July22 Thurs/July 23

Would you child rather participate in a CRAFT or a GAME?

Parent's Name

Phone

This address will receive a confirmation email

Who has your permission other than you to pick-up your child? Name & cell # (list all)

Description

Please fill out this form and click submit. NEW FORM FOR EACH CHILD