Clone of October 2025 Mid-Term Camp Registration Form

February Mid-Term Camp Registration

Welcome to the sign-up form for our Footsteps Trekkers Camp. Please complete the form below and email camp@footsteps.ky if you have any questions. Camp is open to all children on island age 4-9. We look forward to exploring and having fun together!
Our camp rate is $70 per day.

Please note there is no weekly rate for this camp as it is three days long.
Please indicate below which days you are interested in:*

- Individual day: Monday 22nd December- Individual day: Tuesday 23rd December- Individual day: Wednesday 24th December
Child details & important contact information
Name:

First NameLast Name
Date of birth:

DayMonthYear
School:
Parent/Guardian Contact 1:

First NameLast Name
Phone number:
Format: (000) 000-0000.
Email:
example@example.com
Parent/Guardian Contact 2:

First NameLast Name
Phone number:
Format: (000) 000-0000.
Email:
example@example.com
Emergency contact:

First NameLast Name
Phone number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Information regarding allergies or medication:
Does your child have any additional needs that we should be aware of? Please be aware we may need additional information to ensure we can support your child appropriately at camp.

Consents
I hereby consent that Trekkers Camp/Footsteps School may take photographs and/or video of my child while participating in sessions and that these photos and videos may be used for Trekkers Camp/Footsteps School including promotional material (in print media, on websites and/or social media).*

Yes, I agreeNo, I do not agree
Trekkers Waiver*

Yes, I agree

Payment Information
All camp fees will be due upon receiving a confirmation email. Spots are not confirmed if payment is not received. Please pay online via BOB transfer to Footsteps Ltd. 1361553390084

Fees will be paid referencing my child's nameConfirmation of fees will be sent to camp@footsteps.ky which holds my child's place
I type your name to agree to information within this form and to pay fees as per above.
Should be Empty:

February Mid-Term Camp Registration