Week 3 Registration – The Treehouse Academy

Summer Camp Week 3 Registration
STEM Revolution | July 31st - August 4th | 9:00 am - 3:00 pm

Parent's first and last name

Email address

Your phone number

Emergency contact name and phone number

Will your child be between the ages of 5 and 11 this summer?

Yes No

Child’s first and last name

Child’s age

Child’s birthday

Child’s sex

Male Female

Does your child have any allergies? Please list them here.

Does your child have any dietary restrictions? Please list them here.

Does your child have any medical issues that may affect participation in activities? Please list them here.

Has your child attended summer camp before?

Yes No

Is there anything else you would like us to know about your child?