Summer Camp Registration

RSU 2027 · A Different Summer · 10th Anniversary

May 31–August 6, 2027 · 10 weeks

Camp address: 5045 Soutel Drive, Jacksonville, Florida 32208

Register all your children together. Use “Add Additional Child” for each child. Fields marked * are required. The registration fee must be paid before enrollment completes.

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Child 1

First name *Last name *Date of birth *Grade entering fall 2027T-shirt size

Health & support

Enter “None” when a field does not apply.

Allergies / dietary restrictionsMedicationsMedical conditions, accommodations, or support needsAnything else our staff should know

Photo & video permission

Parent or guardian

These contact details apply to all children listed.

Home address (street, city, state, ZIP) *Parent / guardian name *Relationship to camper *Phone number *Email address *Who referred you? (parent’s full name, optional)Second parent / guardian nameRelationshipSecond parent phoneSecond parent email

Emergency contacts & pickup

Include a contact who can be reached if we cannot reach you.

Emergency contact name *RelationshipEmergency contact phone *Additional emergency contactRelationshipAdditional emergency phone

Additional authorized pickup adults

Parents and emergency contacts listed above are already authorized. Add any other adults allowed to pick up your children. Each additional adult must have a complete name and phone number.

Registration promo code

Code (optional)

Payment plans

How would you wish to pay your tuition? *How would you prefer to pay the activity fee? *

This preference applies to all children listed. Your activity fee is the amount shown above per child. Registration fees are paid on the next step using GoDaddy’s secure card form. Tuition reserves all ten camp weeks. Invoices do not authorize automatic card charges.

Permissions & signature

Parent / guardian signature (type full name) *

Questions? wilsonsrisingstars@gmail.com