Confidence Camp

Registration Form

Fill out the form carefully for registration for Step Up Squad Confidence Camp
Child's Name

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Age (in June 2026):
Gender
What size t-shirt does your child wear?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Parent Phone Number (VERY IMPORTANT FOR US TO HAVE)
(×××) xxx-xxxxFormat: (000) 000-0000.
A form of dwarfismA limb-difference of their arm or handA limb-difference of their foot or legBoth upper and lower body limb-differenceAnother Physical Difference
Will your child be attending the Free Confidence Camp with Adaptive Gymnastics, Art, Games, and more in Memphis on June 13th2026?
Please describe your child’s physical differences in detail and include any specific accommodations your child will require during an Adaptive Gymnastics event:
Yes, I understand that the Volunteers and Coaches will lead events, but a Parent is also required to remain at camp with each child.
Yes, I give permission for my family to be photographedNo, I don't give permission for my family to be photographed
Toddlers ages 2-4Kids ages 5-7Kids ages 8-10Kids ages 11-12JV "Helpers" ages 13-16
We are adding additional free adaptive activities and making Saturday, June 13th, a full afternoon of fun events! We are also encouraging everyone to meet at the Memphis Zoo the following morning, June 14th. Full detailed schedules will be sent out prior to camp with all of the times, locations, and additional information. Please select all camp activities that your child would like to participate in:

Expressive Art Session (June 13th)Swimming Group Session (June 13th)Free Family Dinner (June 13th)Zoo Meetup (June 14th)Zoo Splash Pad (June 14th)
Should be Empty:

Registration Form