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.

Choose one*

June 9, Ages 6-8

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

$75

June 16, Ages 9-11

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

$75

Enter coupon

Total

$0.00

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