Please fill out form completely using FULL names. This helps us to plan to care for your child better. Don't forget your City, State, and Zip on the Address line. You will need to provide immunization records when you bring you child to camp.
Your fee is based on the number of days enrolled at EBC Summer Camp. There is no reduction in your weekly tuition due to days missed. The $30 per child yearly enrollment fee is limited to EBC Summer Camp for the current year. You may pay by the week ($75) or opt for $20 per day if weekly supervision isn't desired. Payments may be made weekly OR bi-weekly.
For Spring Break Camp we must have a $75 deposit by March 5 in order to reserve your child's space. This will become your payment for the week. Your check is non-refundable unless we are unable to hold camp because of low attendance.
Your Email:
Child's First Name
Child's Last Name
Grade completed
Home Address:
Home Phone:
Mother's Name:
Mother's Employer:
Mother's cell phone:
Father's Name:
Father's Employer:
Father's Work Phone
Father's Call Phone
Please note the date your child will begin our camp
Is your child enrolling for the entire 11 weeks?
Verification Code:
Insert above code:
* Required

For the grace of God that brings salvation has appeared to all men. - Titus 2:11