Curious Cub Adventure Camp Application
Submission of this form does not guarantee admission into our program. Please submit one application form per family.
Parent's Name
First Name
Last Name
Parent's Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent's Phone Number
Please enter a valid phone number.
Camper's Name
Camper DOB
Camper's Preferred Nickname
Please tell us a little about your camper(s)!
Schedule Option
Please Select
2 day Morning
3 day Morning
5 day Morning
2 day Full Day
3 day Full Day
5 day Full Day
Program/Location Option
Please Select
Infinity Farm- Issaquah Morning Program
Infinity Farm - Issaquah Full Day Driving
Lakemont Park - Bellevue Morning Program
Lakemont Park - Bellevue Full Day Driving
Does your family need financial assistance?
Which weeks would you like to register for?
Can put "All 10" for entire summer, or list weeks by number (1-10).
Does your child have allergies?
Does your cub swim?
What kind of carseat does your child use? Please provide exact brand/model and whether or not it latches.
Date
-
Month
-
Day
Year
Date
Parent Signature
Submit
Should be Empty: