Camp Registration

* Indicates required field
 
Tuition: $350.00
 
Camper First Name *
Camper Last Name *
Camper's Preferred Pronouns
Camper Date of Birth *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email *
Is Parent/Guardian a Central Piedmont Employee? *
Address *
City *
State *
Zip *
School Attending *
School Type *
If Other, please specify
Upcoming Grade *
Phone *
T-Shirt Size Preference (Adult Sizes S-XL) *
Emergency Contact Name *
Emergency Contact Phone *
How did you hear about us? *
Promotional Code