Kids in Construction Day Camp

Kids in Construction Day Camp

Registration Form
Camper Information

One form per camper
Parent Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child Name

First NameLast Name
Age
Grade for 26-27 school year
Shirt Size
Company
If parent not associated with a local industrial construction company list NA.
Names of authorized individuals allowed to pick up other than parent above
Emergency Information

Please list different information than listed above
Emergency Contact 1
Emergency Contact 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2
Emergency Contact 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
List any allergies, special health or medical conditions
To receive a refund cancellations must be made 2 weeks in advance.

June 16, Ages 6-11

Includes lunch and snacks. Activities include a take home project, equipment demos, tool use, games, safety, and more.

$75

Enter coupon

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Camper Information