6:30 a.m. to 6:00 p.m. 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.

We will begin accepting registration form beginning on April 1st, 2017

Please note that field trips are an additional fee

* Indicates required field

Child's Information
*Child's Name:
*Date of Birth:
*Age:
*Please Select a Shirt Size: Extra Small (4-6)
Small (6-8)
Medium (10-12)
Large (14-16)
Extra Shirts ($5.00 each): $
*Hours your child will attend (10 Hour max): AM to PM
*Full Time: (Up to 10 hours per day)
Camp Hours/Part Time:(9 am - 3 pm)
If Part time, list days and hours:
*Swimming Ability: None
Beginner
Intermediate
Advanced
Pizza on Fridays?: Yes No, will bring own lunch
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 - the 40's (June 19th-23rd)
Week 2 - the 50's (June 26th-30th)
Week 3 - the 60's (July 3th-7th)
Week 4 - the 70's (July 10th-14th)
Week 5 - the 80's (July 17th-21st)
Week 6 - the 90's (July 24th-28th)
Week 7 - the 2000's (July 31st-August 4th)
Week 8 - Today (August 7th-11th)
Week 9 - The Future (August 14th-18th)
Field Trips / Performers
Please check off the box of each field trip your child will be able to attend or performer your child will watch.
*Permission Slips to Follow*
Mitchener Art Museum (Thursday, June 29th)
Lost River Caverns (Tuesday, July 11th)
Inline 309 (Tuesday, July 18th age 3-4; Wednesday July 19th age 5-6; Friday, July 21st age 7-10)
Jumpin' Jacks (Tuesday, July 25th age 3-4; Wednesday July 26th age 5-6; Friday July 28th age 7-10)
Lego Land Discovery Center (Friday, August 11th)

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