Summer Camp August 12th

Summer Camp Registration
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
MEDICAL INFORMATION
Medical concerns or additional info we may need to know about your child - please include any allergies. *
Camp Date: August 12th - 15th, 130e

9.30am - 12noon
Payment will be taken on first day of the camp.

We accept cash or card.
Should be Empty:

Summer Camp Registration