Summer Camp Registration - Athena Academy

Emergency contact and medical forms will be sent after registration is complete. Upon submitting this form, you will be redirected to a PayPal payment page to complete your payment & registration.

Student First Name*
Student Last Name*
Student Age*
Entering Grade in Fall 2021*
Parent Contact Information
Parent First Name*
Parent Last Name*
Address
Street Address Address Line 2 City State ZIP Code
Parent Email Contact*
Enter Email Confirm Email
Parent Phone Number*
Name
This field is for validation purposes and should be left unchanged.

STEP 1 OF 2: REGISTRATION

Parent Contact Information