Kids Camp Registration
PARENT INFO
Parent Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Parent Phone #
*
Format: (000) 000-0000.
MINOR INFO
Child Name and Age
*
Name and age
2nd Child Name & Age
If more than 1 child.
3rd Child Name & Age
If more than 1 child.
SESSION INFO
Pick Your Session
June 10. AM Session (8:00 AM)
June 10. PM Session (12:30PM)
June 17. AM Session (8:00 AM)
June 17. PM Session (12:30 PM)
June 24. PM Session (8:00 AM)
June 24. PM Session (12:30 PM)
July 8. PM Session (8:00 AM)
July 8. PM Session (12:30 PM)
July 15. AM Session (8:00 AM)
July 15. PM Session (12:30 PM)
July 22. AM Session (8:00 AM)
July 22. PM Session (12:30 PM)
I'm Interested in all sessions (6)
Comments & Special Requests
Visible to staff. Will try to accommodate special requests, but not guaranteed.
Reserve Your Spot
*
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Kids Camp Registration
Deposit of $5 required to reserve your spot
$5.00
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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