Register for Summer Camp

Please complete the following information in it's entirety. An incomplete application may delay the processing of your request. If you have any questions regarding registration, please contact our office at (770) 627-3424.

Note: Additional information may be requested to complete your application.
Make an online payment.
For registered students only
(application received)

Student Information

Select "Add Row" to register multiple students and select "Delete Row" to remove students from the registration form.

  # Name DOB Gender Grade
1




Address Information

Enter the home address of the registered students. If different, please submit a separate application for each student.

Home Address
  
City
  
State
  
Zip
  

Parental Information

Enter the parental information for the registered students.If different, please submit a separate application for each student.

Parent/Guardian
  
Parent/Guardian Title
   Mother   Father  Other
 
If other, please specify relationship
Home
  
Cellular
  
Work
  
Emergency Contact
  
Relationship
   (e.g. mother, father, sister, etc.)
Emergency Contact #
  
How did you hear about us?
  


Payment Option

Select the desired camp fee payment option.

  Regular Weekly Payment
  Full Pre-Payment