IMG_0955.JPG

DAY CAMP REGISTRATION

We are so excited your child will be joining us for Day Camp! Please take a few minutes to fill out the form below to register your child. If you would like to serve at Summer Blast while your child attends, we would love to have you! Please click here to register to serve.

Child's Name *
Child's Name
Birthday *
Birthday
Parent Name *
Parent Name
Parent Phone Number *
Parent Phone Number
Parent Address *
Parent Address
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number