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 $10 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 - (June 15-June 19) – Prehistoric Era
Week 2 - (June 22-June 26) – Ancient Egypt*
Week 3 - (June 29-July 3) – Ancient Greece*
Week 4 - (July 6-July 10) – Medieval Times*
Week 5 - (July 13-July 17) – The Renaissance*
Week 6 - (July 20-July 24) – Wild West*
Week 7 - (July 27-July 31) – 1920's-1960's*
Week 8 - (August 3-August 7) – Space Age*
Week 9 - (August 10-August 14) – Digital Age*

*Denotes Field Trip or Presenter*
Field Trips & Presenters:
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*

Monster Mini Golf (June 22th)
Chef Zak Makes Snacks (June 29th)
Kids Empire (July 6th)
HoneyBee Arts (July 13th)
American Treasure Tour (July 20th)
The Grand Theater (July 27th)
North Penn Planetarium (August 3rd)
The Hilarious Magic of Sam Sandler (August 12th)
Bucks Bubbles (August 12th)

* 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