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Camp Exploration Additional Weeks

Required

This is the form for registering your child for our Summer Camp Program. You only need to fill this form in once, but you do need to fill in a separate form for each child you register for camp.Camp costs $100 a day or $440 for the week. The Extended Day Package costs $25 per day or $100 for the week, and provides childcare from 7:30 - 9:00 and 4:00 - 5:30. Non-CHA families can pay via credit card at the bottom of this form. Please keep your email confirmation in case you need to edit this form. If you have any questions, please email camp@chestnuthillacademy.com or call 425-372-2800.  
Parent/Guardian Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Choose the type of camp you want to sign up for - Weekly, Daily, or a combination of Weekly & Daily
Weekly Registration Please select up to 8 choices
Please select up to 8 choices
Weekly - Extended Day Registration Please select up to 8 choices
Please select up to 8 choices
Daily Registration Please select up to 39 choices
Please select up to 39 choices
Daily - Extended Day Registration Please select up to 39 choices
Please select up to 39 choices

Payment Information

Please select a payment typerequired
Parent is using School's Out! benefit or will pay via ACH
Billing Addressrequired
Cardholder Namerequired
Expirationrequired