October 2021 Camp Registration Form

Xmas 2022 Camp Registration Form

To book for a place in the the camp, you must complete the form below accurately.
Childs Name:*

First Name Last Name
Desired Name :
Birth Date:*

Month Day Year
Home Phone Number:*
Mobile Number:
Parent's Email Address:*
example@example.com
Primary Address:*

Street Address

Street Address Line 2

Parish State / Province

Zip
Please provide any medical or dietary restrictions you have:
How did you hear about Camp?:*
Family Information
Parent/Guardian's Name:*

First Name Last Name
Contact Phone Number:*
E-mail Address:*
example@example.com
Emergency Contact Information
Emergency Contact Name:*

First Name Last Name
Emergency Contact Phone Number:*
Relationship to Student:*
Your child will be attending

Week1 December 19 -23
Should be Empty:

Xmas 2022 Camp Registration Form