Below is the online registration form for Wet & Wild Adventure Camp. To register and pay online using Paypal, we need to first collect our registration information.  After completing the form below you will be asked to select your session, then be directed to Paypal where you may conveniently pay online.  You will not be required to sign up for Paypal if you do not have an existing account.  If you prefer you may use your credit card and Paypal will only use it to process your order.

Please note: Certain fields marked by an asterisk (*) are required along with a valid email address.  If these required fields are not filled in before submission, the form will not send correctly.

If you have questions, please call (512) 771-3188.
 

Registration Form:

Please check the box next to the session(s) for which you would like to register .  If you need to view the schedule click here to view it in a new browser.

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Please choose where you would like your child dropped off in the morning and picked up in the afternoon:

Choose Morning Drop-off *:

Choose Afternoon Pickup *:

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Child's First and Last Name (to be used at camp) :     Choose Gender *:

Age (As of 6/1) *:   Date Of Birth *:   School:

Address *:

City *:   Zip *:

Phone *: Email *:

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Parent First and Last Name *: Phone:

Work Phone: Cell Phone:

Second Parent Name: Phone:

Work Phone: Cell Phone:

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Payment Name

If you do not have a Paypal account and do not wish to sign up for one, we can still receive payment through Paypal with a Credit Card.  If you choose to pay this way at checkout, please provide the name on the Credit Card here so we can match your child's name with payment.  If you choose to pay with your Paypal account, please provide the name on the account.  Please note this information is only used to ensure your child's payment is correctly recorded  *
 
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Two Emergency Contacts (Friends or Relatives, only one required):

Name *: Phone *:

Name: Phone:

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How did you hear about us?:

List any special problems your child might have that we need to be aware of, such as allergies, injuries or physical limitations. Is your child on medication? Please provide details:


Doctor:   Phone:   

Insurance:

 
     
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Wet & Wild Camp
(512) 983-6100
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