Summer Camp Registration
Kids@Canterbury GROSS OUT CAMP Registration with Fresh Air Family for rising 1st - 4th grade for the 2024-2025 year. | July 22-25, 2023 | 9:00am-1:00pm
Child's Information
Child's Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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
Please select a year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
Year
Grade
*
Rising grade for 2023-2024 school year
Gender
*
Male
Female
T-shirt size
*
youth xs
youth s
youth m
youth l
youth xl
adult s
adult m
adult l
adult xl
Please list any allergies,medical conditions or any other information we might need to know.
Parent/Guardian Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best contact phone number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Payment
*
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GROSS OUT CAMP with Fresh Air Family - Elementary
$
150.00
Scholarships are available if needed. Please contact Amanda Fuller at amanda.fuller@canterburyumc.org for more information.
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Total
$
0.00
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