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Enrollment Application
2025 Summer Session
Camp Dates: July 13-19, 2025
 

Parent/Legal Guardian #1

Parent/ Legal Guardian #2

Parent/Legal Guardian #2
Same Address
Different Address
Number of Campers Enrolling
One camper
More than one camper

Camper #1

Child Lives With
Both Parents
Parent #1
Parent # 2
Other
Parents are:
Married
Divorced
Separated
Other
If we need to contact your family who should we contact first
Parent #1
Parent # 2

Enrollment Agreement

I agree to the following terms:


APPLICATION

I understand that this application is incomplete until a refundable deposit of $750 is received per camper. If you have more than 2 campers please email samantha@campwillowusa.com to complete the remaining camper applications.


Payment by credit card can be made below with a 4% service charge.

If paying by check please call the office ‪(626) 714-1105 to let us know.


All checks must be made payable to:

Camp Willow

99 W. California Blvd. #51106,

Pasadena, CA 91105


Once you agree to the terms of this agreement above we will send you the Questionnaire documents.

Camp Session & Payment

Sessions (select all that apply)
*Camper Deposit $750+4% Service Fee$780
Parent 2 Nights $475 +4% Service Fee$494
Test$1

STEP 1: Enrollment Application

Please fill out this form completely and submit the refundable* $750 deposit. We will reach out once this has been submitted to provide you with STEP 2 : The Questionnaire documents.

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