Camp IKIDZ-Regular: SUMMER CAMPS 2023 REGISTRATION FORM

Camp IKIDZ Summer 2023 Registration Form

Camp dates: June 5 to August 4, 2023 (No camp : July 3-7).
Student's Full Name*
Grade entering in Fall 2023*

Grade KGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7
School Attending*
Contact Address*
Contact Phone 1*
Contact Phone 2*
Contact Email-1*
Contact Email-2*
Choose a program*

Session 1: June 5 to June 30 (4 weeks 9am - 4pm)Session 2: July 10 to August 4 (4 weeks 9am - 4pm)Session 1 & Session 2: June 5 to August 5 (8 weeks 9am - 4pm)Any 4 weeks between Session 1 & Session 2 (Weeks must be confirmed by May 1, 2023)Any 5 weeks between Session 1 & Session 2 (Weeks must be confirmed by May 1, 2023)Any 6 weeks between Session 1 & Session 2(Weeks must be confirmed by May 1, 2023)Any 7 weeks between Session 1 & Session 2(Weeks must be confirmed by May 1, 2023)
Do you need extended care from 4pm to 6pm?*

YesNo
Choose your Camp Location*

iKidZ- Mowry (5133 Mowry Avenue)iKidZ-Newark/Ardenwood (34904 Newark Blvd)
Is your student fully vaccinated against COVID-19?*

YesNo
Add a note *
(Mention any allergies, additional weeks of camp required.)
Parent's Name*
First Name & Last Name.
Parent Initials*
Please type your first name as initial. With this initial you are acknowledging that you will follow all required iKidZ admission, withdrawal policies & guidelines that is set forth.
Should be Empty: