Premier Academy Summer Camp Registration Form

Dates: June 10th - August 2nd
Activities: Outdoor Games, Field Trips, Arts and Crafts, Water Games and More!

Open to Ages 5 - 15 and Free Lunch Provided!

After completion of this form, we will contact you regarding enrolling your child in Premier’s Summer Camp.

Parent/Guardian Name *
Parent/Guardian Name
Please insert your address including city, state and zipcode.
Phone *
Phone
Student's Name *
Student's Name
Birthdate *
Birthdate
Please insert your child's date of birth.
Camp T-Shirt Size *
Your child will be provided a camp t-shirt that will be mandatory for all field trips.
Student's Name
Student's Name
If you would like to enroll another child please fill out the section below.
Birthdate
Birthdate
Please enter your child's date of birth.
Camp T-Shirt Size
Your child will be provided a camp t-shirt that will be mandatory for all field trips.
How did you hear about our Premier Academy School?
Summer Camp Payment Agreement *
Preimer Academy School's Summer Camp has a one time registration fee of $75 and the weekly rate for participating in the summer camp is $100. Do you agree with this fee structure?