Summer Camp Waiting List Sign-Up 2026

1
Parent's Information* This field is required.
Parent's First and Last Name
Parent's Email Address
Parent's Phone Number
2
Child's Information* This field is required.
Child's First and Last Name
Please Select
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's Grade Level (as of August 2026)
3
Select the weeks your child will attend if they are accepted from the Waiting List.* This field is required.
Week 1 (06/08/26 - 06/12/26)
Week 5 (07/06/26 - 07/10/26)
Week 2 (06/15/26 - 06/19/26)
Week 6 (07/13/26 - 07/17/26)
Week 3 (06/22/26 - 06/26/26)
Week 7 (07/20/26 - 07/24/26)
Week 4 (06/29/26 - 07/03/26)
4
Summer Camp Funding Type* This field is required.
Self-Pay Option
KHA Grant Option
5
Space is still available for children to enroll in our summer camp under the self-pay option. Please visit our website to enroll your child into our summer camp program under the Self-Pay Option.

Thank you!
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