Please fill out the form below to register your child for the Free Summer Camp, "Deep Sea Adventure"!!  If you are registering more than one child, please fill out one form for each.

August 16 - 21, 2010
Monday - Friday:  6:00pm - 8:30pm
Saturday - 10:00am - 12:30pm
Parent Name: 
Child's Name: 
Address:
City:    State:      Zip: 
Phone:     Cell: 
E-mail: 
    Child's Birthday: (mm-dd-yy)
  Child's Grade (completed): 
  Child's T-shirt Size: