Kids Camp 2024

July 9th-12th, 9am-11:45am | Please fill out this form and click submit.

Parent 1 Name

*

Parent 1 Email

*

This address will receive a confirmation email

Parent 1 Phone

*

Address

*

Parent 2 Name

Parent 2 Phone

Parent 2 Email

Camper 1 Info

Name

*

Grade attending this Fall

*

Please select one option.

**Kindergarten (Requires parent volunteer) 1st 2nd 3rd 4th 5th

Allergies?

*

Camper 2 Info

Name

Grade Attending this Fall

Please select one option.

**Kindergarten (Requires Parent Volunteer) 1st 2nd 3rd 4th 5th

Allergies?

Camper 3 Info

Name

Grade Attending this Fall

Please select one option.

**Kindie (Requires Parent Volunteer) 1st 2nd 3rd 4th 5th

Allergies?

Camper 4 Info

Name

Grade Attending this Fall

Please select one option.

**Kindie (Requires Parent Volunteer) 1st 2nd 3rd 4th 5th

Allergies?

Camper 5 Info

Name

Grade Attending this Fall

Please select one option.

**Kindie (Requires Parent Volunteer) 1st 2nd 3rd 4th 5th

Allergies?

Volunteering

Volunteer?

*

Please select one option.

Yes No Thank You

If Yes, please check area of interest:

Please select one option.

Check-in/Check-out Groups (leader/assistant) Crafts Outside Games Monitor Inflatables

Payment

Please select the number of campers you are registering from the dropdown:

Payment

1 Camper ($35.00) 2 Campers ($70.00) 3 Campers ($105.00) 4 Campers ($140.00) 5 Campers ($175.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 9th-12th, 9am-11:45am

Please fill out this form and click submit.

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