Camp Registration

Parent: First name

Parent: Last name

Parent Phone #

Address

Parent Email

Camper Full Name

Camper DOB

Month

Day

Year

Age of Camper (as of today)

Grade Entering in September

Is your child a Meadowbrook student?

Yes

No

Is your child under any medical/physical restrictions?

Yes

No

Is your child taking any medication?

Yes (Please complete the Medication Policy Form)

No

Does your child have any history of an unusual experience, which has required treatment, concern, or which would require special consideration while attending camp? If ‘Yes’, a camp representative will contact you to discuss.

Yes

No

Is this your child's first time attending Camp Meadowbrook?

Yes

No

Camp Program(s) Attending: (Open to campers in grades 2nd through 8th)

Lacrosse Camp - June 16th to June 20th$315

CSI Camp - June 16th to June 20th (Half day camp - 9am to 12pm)$280

Soccer Camp - June 23rd to June 27th$315

Soccer Camp - (Half day - 9am to 12pm)$200

Art Camp- June 30th to July 3rd$252

Drama Camp - July 7th to July 11th$325

Dungeons & Dragons Adventure Camp -July 14th - July 18th$315

Writing Camp - July 21st to July 25th$325

Robotics & Coding Camp (Half Day camp 9am - 1pm) July 28th to August 1st$218

Chess Camp - July 28th to August 1st (Half Day camp 1pm to 4pm)$195

Sports & Fitness Camp - August 11th to August 15th$325

Lunch Program - Select the number of weeks you would like lunch:$75

Extended Camp - 3pm to 5:30pm$95

*Please fill out a separate form for each camper