Kamp Keystone Registration Form
K - 5th Grade | Camp Fees: $175 per week, $150/Week for each sibling
Child #1
*
First Name
Last Name
Birth Date
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
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1991
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1984
1983
1982
1981
1980
1979
1978
1977
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1975
1974
1973
1972
1971
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1969
1968
1967
1966
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1961
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1953
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1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
T-Shirt Size
*
Please Select
Child Small
Child Medium
Child Large
Child XL
Would you like to add any additional children? Click Here.
Child #2
First Name
Last Name
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
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10
11
12
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25
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29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
T-Shirt Size
Please Select
Child Small
Child Medium
Child Large
Child XL
Child #3
First Name
Last Name
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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24
25
26
27
28
29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
T-Shirt Size
Please Select
Child Small
Child Medium
Child Large
Child XL
Child #4
First Name
Last Name
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
T-Shirt Size
Please Select
Child Small
Child Medium
Child Large
Child XL
Child #5
First Name
Last Name
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
T-Shirt Size
Please Select
Child Small
Child Medium
Child Large
Child XL
Child #6
First Name
Last Name
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
T-Shirt Size
Please Select
Child Small
Child Medium
Child Large
Child XL
Child #7
First Name
Last Name
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
T-Shirt Size
Please Select
Child Small
Child Medium
Child Large
Child XL
Back
Next
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Parent Phone Number
*
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Allergies or other medical concerns (please specify which child they apply to):
*
Please list all authorized individuals that have permission to pick up your children:
*
* Please enter the number of children you would like to register for the corresponding week(s) of camp below:
Please Note: Foster families that are sponsored by Man Up And Go may only register for one week of camp.
Week of June 12 Build It Craft It :
Week of June 19 Science on the Ranch:
Week of June 26 Welcome to the Circus :
Week of July 10 Game Show Mania:
Week of July 17 Around the World:
Registration Deposit
Please select the number of children you are registering for the corresponding week(s) of camp.
Please Note: Foster families that are sponsored by Man Up And Go may only register for one week of camp.
*
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next
( X )
Week of June 12 - Deposit
Deposit due for each child at time of registration. Balance is due by the first day of camp. Checks can be made payable to Keystone Ranch, Venmo will also be available the day of.
$
50.00
Number of children
0
1
2
3
4
5
6
7
Week of June 12 - Man Up And Go
Foster Family Child, Cost sponsored by Man Up Tampa Bay
$
Free
Number of children
0
1
2
3
4
5
6
7
Week of June 19 - Deposit
Deposit due for each child at time of registration. Balance is due by the first day of camp. Checks can be made payable to Keystone Ranch, Venmo will also be available the day of.
$
50.00
Number of children
0
1
2
3
4
5
6
7
Week of June 19 - Man Up And Go
Foster Family Child, Cost sponsored by Man Up Tampa Bay
$
Free
Number of children
0
1
2
3
4
5
6
7
Week of July 26 - Deposit
Deposit due for each child at time of registration. Balance is due by the first day of camp. Checks can be made payable to Keystone Ranch, Venmo will also be available the day of.
$
50.00
Number of children
0
1
2
3
4
5
6
7
Week of July 26- Man Up And Go
Foster Family Child, Cost sponsored by Man Up Tampa Bay
$
Free
Number of children
0
1
2
3
4
5
6
7
Week of July 10 - Deposit
Deposit due for each child at time of registration. Balance is due by the first day of camp. Checks can be made payable to Keystone Ranch, Venmo will also be available the day of.
$
50.00
Number of children
0
1
2
3
4
5
6
7
Week of July 10 - Man Up And Go
Foster Family Child, Cost sponsored by Man Up Tampa Bay
$
Free
Number of children
0
1
2
3
4
5
6
7
Week of July 17 - Deposit
Deposit due for each child at time of registration. Balance is due by the first day of camp. Checks can be made payable to Keystone Ranch, Venmo will also be available the day of.
$
50.00
Number of children
0
1
2
3
4
5
6
7
Week of July 17 - Man Up And Go
Foster Family Child, Cost sponsored by Man Up Tampa Bay
$
Free
Number of children
0
1
2
3
4
5
6
7
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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