Day Camp Registration Form

Day At The Museum Camp Registration Form

These forms are required for your children to attend camp.
Camper's Information
Camper Name
Nickname
Date of Birth

MonthDayYear
Age
NOTE - Children need to have completed Third Grade before they are eligible to participate in day camp.
Entering Grade in 2026/27
School Camper Attends
Camp Registering For?
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you.
Heading

Emergency Contact #1
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child
Heading

Emergency Contact #2
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child

Day At The Museum Camp Registration Form