HOTEA MINI Camp Registration

MINI Camp Registration

Saturdays are THE BEST at HOTEA!
Date of MINI Camp that you are registering for:
Camper Information
Camper's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the camper prescribed an inhaler? If yes, please explain any instructions.
Date

MonthDayYear
Date

My Products

MINI Camp

Camp is the last Saturday of the month. 9am - 12 pm

$100.00

Total

$0.00

MINI Camp Registration