Kids Day Camp Registration Form
Provide your child's details to register for the camp at Cherokee Rock Village.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
List any allergies or medical conditions
Session Selection
June 20th
July 11th
August 1st
I certify that the information provided is accurate. I understand that participation in Kids Camp requires a completed Cherokee Rock Village Liability Waiver and that my child must follow all camp rules and staff instructions.
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
QR Code
Please note: Registration is not complete until a parent or legal guardian has completed and submitted the Cherokee Rock Village Liability Waiver using the link below.
Cherokee Rock Village Waiver
Register
Register
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