KIDS CAMP REGISTRATION FORM Parent/Guardian Name * First Name Last Name Primary Phone * (###) ### #### Second Phone Number to Contact (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Child 1 Name * First Name Last Name Date of Birth * MM DD YYYY Last Grade Completed * Allergies/Medical Information/Other: * Child 2 Name First Name Last Name Date of Birth MM DD YYYY Last Grade Completed Allergies/Medical Information/Other: Child 3 Name First Name Last Name Date of Birth MM DD YYYY Last Grade Completed Allergies/Medical Information/Other: Thank you!
