Literacy Alive

Register For Camp

Please fill out the form below to register for camp.
There is a fee of $80 for the camp.
After you register you will be taken to a payment page.
Please submit your payment so we can finalize your registration.

You Are Registering For Camp On

Parent's Name Address

City

State

Zip Code

Phone Number

E-Mail Address

Child's Name

School

Age

Allergies (enter NA if no allergies)

Emergency Contact (different from parent) Emergency Contact Phone

Additional Person(s) authorized for pickup

;