Date: June 23- August 15

Ages: 5- 13 years

Time: 8am- 4pm

Cost: $60/week

Registration is Now Open

Please fill out the registration form below to hold your spot at Miller’s Temple Day Camp

*After care available: Until 6pm

Outdoor activities

Arts & crafts

Field Trips & More

Summer Camp Registration Form

Camper's Name

First Name

Last Name

Camper's Date of Birth

YYYY

Camper's Age

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Name

First Name

Last Name

Parent Name

First Name

Last Name

Phone

(###)

###

####

Best Method of Contact

Phone

How did you hear about us?

Does Camper Require Transportation?

Yes

Does Camper Require Extended Care?

Yes