Mid year Camp Interest Form

Mid year Camp Interest Form

June 6th to 8th
Thank you for your interest in the Wonder Camp!

We are about to finalize our programs for this year and will offer registration soon.

Save your child's spot by completing the form below and we will notify you once the registration is open.
Date

MonthDayYear
Date
Name of Camper

First NameLast Name
Camper's Birthdate

MonthDayYear
Date
Camper's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Select Camp*

Little Wonderz (4-11Yrs)Tweenz (12-17Yrs)Wondercircle (20-50Yrs)Non NDIS parents (with Neurodiverse Kids)NDIS parents (with Neurodiverse Kidz)
Name of Parent/Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments or Inquiries
Should be Empty: