Summer Camp Application

Half-Day Camp
9:00 AM – 1:00 PM

Full-Day Camp
9:00 AM – 3:00 PM

Please complete the form below to apply.

Send your required despsit to Christopher Academy, 510 Hillcrest Avenue, Westfield, NJ 07090 or call the office at 909-233-7447 to pay by Zelle.

When applying for camp, if enrolled for the week of June 29th, please deduct $100.00 for half day or $140.00 for Full Day, camp will be closed on Friday, July 3rd.

"*" indicates required fields

Step 1 of 7 - Student Information

Student Information

Child's Full Name*

First Middle Last

Child's Preferred Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Birthdate*

Age

Please enter a number from 0 to 10.

Gender

Guardian 1 Information

Name*

First Last

Is address different than child's?

Yes, it's different

No, it's the same

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Phone*

Preferred Email*

Occupation

Business Name

Guardian 2 Information

Name

First Last

Is address different than child's?

Yes, it's different

No, it's the same

Current Address

If different from child's address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Phone

Preferred Email

Occupation

Business Name

Emergency Contact #1

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact #2

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Christopher Academy does not discriminate on the basis of any acknowledged legally protected category in the administration of its admissions policies or educational goals.

We’re happy to answer any questions you may have.

Call us to schedule an appointment (908) 233-7447 or email us.

Summer Camp Application

Apply Online

Student Information

Guardian 1 Information

Guardian 2 Information

Medical Information

Emergency Contact #1

Emergency Contact #2

Session Choices

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