7:00am to 5:00pm M-F        
Phone: 215.256.9956         
Fax: 215.256.0119           
   

Camp Wonderfun - Registration Form

Fill out the form below to register your child for the camp. You may also use our printable form (pdf format) if you prefer.

Please note that field trips are an additional fee

* Indicates required field

Child's Information
*Child's Name:
*Date of Birth:
*Grade:
*Age:
*Hours your child will attend (10 Hour max): AM to PM
*Full Time (Extended Day):
*Full Time (Camp Hours 9am-3pm):
*Part Time (Extended Day):
*Part Time (Camp Hours 9am-3pm):
If Part time, list days and hours:
Camp T-Shirt: Campers are required to have at least one T-Shirt for field trip presenter days. Camp T-Shirts are $6 each. You may purchase additional shirts if you choose. Please select what size applies to your child.
*Please Select a Shirt Size: Extra Small (4-6)
Small (6-8)
Medium (10-12)
Large (14-16)
X-Large (16-18)
Extra Shirts ($7.00 each): $
*Swimming Ability: None
Beginner
Intermediate
Advanced
Pizza on Fridays?: Yes No, will bring own lunch ($2.00 fee per slice)
Is your child potty trained?: Yes No
Allergies (food or insect):
Medications:
Other information that may be helpful (please include special diets, ear plugs, etc.):
Parent Information
*Name(s):
*Email Address:
*Home Phone:
Cell Phone:
Work Phone:
Home Address:
Camp Weekly Themes
Please check off the box of each week your child will attend (Please keep in mind vacations you will be planning)

Week 1 - Firefighter (June 16th –June 20th)
Week 2 - Doctor/Nurse (June 23rd –June 27th)*
Week 3 - Postal Worker (June 30th –July 4th)
Week 4 - Construction Worker (July 7th –July 11th)*
Week 5 - Teacher/Librarian (July 14th - July 18th)*
Week 6 - Veterinarian (July 21st - June 25th)*
Week 7 - Chef/Baker (July 28th –August 1st)*
Week 8 - Police Officer (August 4th –August 8th)*
Week 9 - Farmer (August 11th –August 15th)
Field Trips / Performers
Please check off the box of each field trip and/or presentation your child will attend (Please keep in mind vacations you will be planning)
*Permission Slips to Follow*

Giggleberry Fair (June 23th)
Inline 309 (July 10th)
Indian Valley Library (July 14th) (Tentative)
Party Animals Express (July 21th)
Cooking with Chef Zak (July 28th)
The Hilarious Magic of Sam Sandler (August 4th)
Bucks Bubbles Foam Party (August 7th)

* Please note that all trips and presentations are an additional $25 per trip or presentation per child. We require all children to attend these during the weeks they are in attendance. *


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186 Main Street   •   Harleysville, PA 19438   •   Phone: 215.256.9956  •  Employment