Camp Jamie Summer Workshops 2026 for Children/Teens Registration Form

Camp Jamie Summer Workshops for Children/Teens 2026 Registration Form

Please fill out this form to register a child or teenager for the Camp Jamie 2026 Summer Workshop series. Please note: You can register for multiple workshops or just choose one and come back later to register for more.
Name of Child/Teen Attending workshop

First NameLast Name
Child/Teen's Date of Birth

MonthDayYear
Child/Teen's Preferred Name
Child/Teen's preferred pronouns

Other
What Grade is Child/Teen Going in this Fall 2026?
Name of School Child/Teen Attends (or write "home school)
Adult/Legal Guardian Name

First NameLast Name
Email Address of Adult/Guardian
example@example.com
Cell Phone Number of Adult/Guardian
Please enter a valid phone number.Format: (000) 000-0000.
Can we text the phone number listed above? (For use on day of the event)
Journaling & Songwriting Workshop: Which date are you registering for?
Collaging Workshop: Which date are you registering for?
Crafting & Painting Workshop: Which date are you registering for?
Did this child/teen attend any Camp Jamie program in the past?
If your child/teen has not attended Camp Jamie in the past, please state who they lost and when.
Example: Father April 2026, Aunt 2010
Light snacks will be provided for this workshop. Does your child/teen have any dietary restrictions?
Please list any medical conditions, accessibility requirements, or other accommodations we should be aware of for your child/teen to attend a two-hour workshop.
Should be Empty:

Camp Jamie Summer Workshops for Children/Teens 2026 Registration Form