SEACAMP Enrollment Form

Date Form Residental Info

Student First Name *

Student Last Name

Student Gender Identity *

Male

Female

dorm/bathroom assignments

Date of Birth *

Student Grade *

Grade in Fall 2026

Parent/Guardian First & Last Name

Parent/Guardian Email Address

Siblings or Friends to be grouped with

Every effort is made to accommodate requests. We will contact you if we are NOT able to accommodate.

Has student previously attended SEACAMP San Diego? *

Yes

What program did your student last attend and when?

Where did you hear about us?

On behalf of above student and myself, I agree to the following statement

I have read and agree to all Terms and Conditions. Further, I have read and agree to the Cancellation Policies for this program.

If you are human, leave this field blank.