Summer Camp Registration

SUMMER CAMP REGISTRATION FORM 2026

LOCATION: ARLINGTON HEIGHTS PARK

First name

Last name

Preferred Name

Birthday

Month

Day

Year

Age

Grade (Upcoming Fall)

T-Shirt Size

Parent Full Name:

Phone

Second Parent Full Name:

Phone

Emergency Contact

Phone

Emergency Contact

Phone

Authorized Pick-up List: Names of specific individuals cleared to take the child home

Any Allergies:

Medical Conditions

Current Medications:

Health Insurance:

WEEK 1 - 2 HOURS 10 AM-12 PM

JUNE 8 - JUNE 11$150

WEEK 2 - 2 HOURS 10 AM-12 PM

JUNE 15 - JUNE 18$150

WEEK 3 - 2 HOURS 10 AM-12 PM

JUNE 22 - JUNE 25$150

WEEK 4- 2 HOURS 10 AM-12 PM

JUNE 29 - JULY 2$150

WEEK 5- 2 HOURS 10 AM-12 PM

JULY 6 - JULY 9TH$150

ALL WEEKS

ALL WEEKS$700

File upload

Signature

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