Fiesta Summer Camp 2025

Fiesta Summer Camp 2025
Child's name:*

First NameLast Name
Birth Date:*

MonthDayYear
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Select Camp shirt size:*

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Please provide any child medical or dietary restrictions you have:
Child's preferences and dislikes:

Family Information
Parent/Guardian's Name:*

First NameLast Name
Contact Phone Number:*

Area CodePhone Number
E-mail Address:*

Emergency Contact Information
Emergency Contact Name:*

First NameLast Name
Emergency Contact Phone Number:*

Area CodePhone Number
Relationship to Student:*
Camp Selection
Should be Empty: