BuzzCamp Jr. 2025

BuzzCamp Jr. 2025

Parent Registration Form
WHEN:

July 18th from 12-4pm. Pizza party at 4pm!

WHERE:

Check in and lunch will be from 11:30-12:00pm in front of NMT Library. Parents will need to sign in thier children in. Pickup and pizza will be at 4pm in front of the Library. PLEASE NOTE* While there was originally a pool party scheduled, due to an issue with the pool, there will be a pizza part only. Each child will recieve a daypass that entitles them and one adult to attent NMT pool for FREE at their convenience.
Child's Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Gender

MaleFemale
Parent/Legal Guardian Name

First NameLast Name
Relationship to the Minor
Phone Number 1
Phone Number 2
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does the child have any allergies?

YesNo
Does the child have any medical conditions that you would like to declare?
Any special instructions?
I, {parentlegalGuardian}, the parent or legal guardian of {childsName}, give my permission to join or participate in the Event stated in this form.
Parent's Signature

Clear
Date Signed

MonthDayYear
Date
Should be Empty: