VIP Pre-Registration

Crowned Beauty Academy Summer Camp (VIP pre registration)

Ages 11–17
CHILD INFORMATION:
Child Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Name of School
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
MEDICAL INFORMATION
Medical Concerns/ food Allergies
Should be Empty: