WLUCC Kidz Kamp Registration

WLUCC Kidz Kamp Registration

All camps offered at the discounted rate of $115 plus tax. You will be billed following registration
Child must be at least 6 yrs but less than 12 yrs.
Parent Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Email Address
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child's Full Name

First NameLast Name
Child's Birth Date

MonthDayYear
Date
Child's 9 Digit Health Card Number
6 Digit Health Card Number
Secondary Emergency Contact

First NameLast Name
Secondary Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Which camp weeks do you wish to register for?
Please read the following waivers and agreements carefully. They include releases of liability and waiver of legal rights, and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the checkout process.

Click this link to download the Kidz Camp General Waiver
I have read and agree to Kidz Camp General Waiver
Should be Empty: