Circus Mojo Summer Camp 2022

We are offering 2 weeks of Circus Mojo Summer Camp 2022

June 20- 24, 2022

August 1- 5, 2022

What you need to know:

We are keeping our registration numbers low to allow for distancing and safety.
Camp runs Monday through Friday 9:00am to 3:00pm with a 2:00 show on Friday for friends and family.
Before and after care is available from 8:00am until 5:30pm (details below)
Circus Mojo Summer Camp is open to participants ages 8 to 17
Summer Camp is $300 per camper.

and a little more:

To date Circus Mojo has donated over $25,000 of Summer Camp to area schools, non-profits and benefit causes. This year we are again offering two options for Summer Camp payment. You can pay the standard $300 or for $350 you can help the Social Circus Foundation 501c3 too! If you choose the option with Donation, you will be charged $175 now and then on the first day of camp, bring a check for $175 made payable to the Social Circus Foundation.
You get a tax deduction and a kid in need gets a chance to grow!

If you have questions please contact us at 1-800-381-8232 or [email protected]

Register

Camp Selection

**Select for one child/week at a time. You will be able to add another camper on page 2.

Before/After Care

Before and After Care is $10 an hour per child. If you plan to utilize the before and after care option, please specify the dates and times below.

Before/After Care Dates (If not applicable please mark N/A.)

COMMENTS, QUESTIONS or CONCERNS

T-Shirts

If you would like to pre-purchase a Circus Mojo T-Shirt for pickup at camp- you can do so here .

T-Shirts

Convenience Fee

$3.00

Total

$3.00

Discounts

Multi-Child discount: $25 off the 2nd child - will automatically be applied when you register a 2nd camper.

Ludlow/Bromley residents (Zip Code 41016 only): 50% Discount will be automatically applied.

Total

$3.00

Camper Information

Camper Name

Camper Gender

Camper Date of Birth

Country

Address

City, State and ZIP Code

School

Furthest Grade Completed

Parent/Guardian Information

Parent/Guardian Name(s)

Parent/Guardian Best Phone Number

Confirm Email

Emergency Contact Information

Emergency Contact Name

Relationship

Emergency Contact Phone Number

Camper Health Information

Please let us know if your child has any physical limitation or allergies and list any medications your child needs to take while attending camp and whether or not your child can self medicate.

Please mark N/A if not applicable.

Camper Pickup

Children must be signed out at the end of camp each day by a designated person. Please specify if there is anyone in addition to the parent/guardian listed above that are allowed to pick up your child.

(1) Pickup Name and Relationship

Pickup 1 Phone

(2) Pickup Name and Relationship

Pickup 2 Phone

My child can sign himself or herself out (check if yes)

Running Total

$3.00

Coupon Code

Total

$3.00

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