2027 CLD Summit Kids Camp Registration
Kids camp is available Thursday, Friday and Saturday for kids ages 5 up to 17 years of age. Children 0-5 are welcome to drop in for activities as long as a parent or guardian stays with them. Kids camp will provide a fun and safe space for kids to engage in various exciting activities!
Please enter your child’s info., parent/guardian contact info., and any medical, behavioral or allergy information the staff should be aware of.
One form per child attending is required.
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age of Child at Time of Camp
*
Parent/Guardian 1 Name
*
Parent/Guardian 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 Name
*
Parent/Guardian 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's T-Shirt Size
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Will your child need to be given medication during youth camp hours?
*
Yes
No
Does your child have any medical or behavioral profiles the Youth Camp Staff should be aware of?
*
Yes
No
If yes, please explain. Someone from the Youth Camp may contact you to discuss:
List any allergies (Enter "N/A" if not applicable):
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Registration
Should be Empty: