Creekside Summer Camp Registration

Summer camp dates are from June 2nd to August 14th, 2025.
Please complete one form for each child registering.

1Registration Information > 2Camp Selection > 3Payment
$0

Total
Parents Name Parents Name First Last
Primary Parent Phone Number Primary Parent Phone Number - ### - ### ####

This should be the main number to reach the parent listed above.
Parents Email
Secondary Parent Phone Number Secondary Parent Phone Number - ### - ### ####

This field may be a father's number or a secondary number to reach the primary parent.
Have attended OR are you currently attending Childrens Academy?

Have attended OR are you currently attending Childrens Academy? Currently Enrolled Child New Family Alimni Family (Not Currently Enrolled)
Childs Information
Child's Name Child's Name First Last
Childs Birthdate Childs Birthdate / MM / DD YYYY
Grade you will be going into for Fall of 2025

Grade you will be going into for Fall of 2025 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

What grade will your child be going into in the Fall of 2024?
We will be continuing enrollment at Creekside for the 2025/26 School Year in the fall:

We will be continuing enrollment at Creekside for the 2025/26 School Year in the fall: No Yes. I am currently attending (School Name):