Camp Registration

CAMP BLAZE SUMMER CAMP
REGISTRATION & CONTACT FORM

Parent/Guardian Name*

Address*

Phone*

Email Address*

Camper A Name*

Camper A DOB*

Camper B Name

Camper B DOB

Camper C Name

Camper C DOB

Weeks Attending*

Please select the week(s) your child will attend camp.

Week 1: June 5 - 9 Green WeekWeek 2: June 12 - 16 Sports WeekWeek 3: June 19 - 23 Water WeekWeek 4: June 26 - 30 Nature WeekWeek 5: July 3 - 7 STEM WeekWeek 6: July 10 - 14 Art Week

I have more children attending

Please list the names and DOBs of each additional child attending camp.

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Thank you for pre-registering. We will call to confirm your information and you will receive a link in your email to make your registration payment. Questions? Please call 910-479-1167

Please complete this registration form. Once you have submitted the form you will receive the Campers Contract and Payment Request.

CARR PREPARATORY ACADEMYEach Endeavoring. All Achieving.​​

CAMP BLAZE SUMMER CAMPREGISTRATION & CONTACT FORM

CARR PREPARATORY ACADEMY
Each Endeavoring. All Achieving.

CAMP BLAZE SUMMER CAMP
REGISTRATION & CONTACT FORM