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Child Registration Form

Please fill out the registration form below to enroll your child in our summer camp and activities. Providing complete and accurate information helps us ensure a safe, enjoyable, and well-organized experience for every participant. If you have any questions before registering, please don't hesitate to contact us.

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Child Information

Child's Full Name

Date of Birth

Gender

Current Grade

Parent/Guardian Information

Parent/Guardian Full Name

Phone Number

Email Address

Home Address

Medical Information

Allergies

Current Medications

Medical Conditions or Special Needs

Additional Care Instructions (Optional)

Emergency Contact

Emergency Contact Name

Relationship to Child

Emergency Phone Number

Authorized Pick-Up

Authorized Pick-Up Person #1*

Full Name

Relationship to Child

Phone Number

Authorized Pick-Up Person #2

Full Name

Relationship to Child

Phone Number

Opt-In

I certify that the information provided is accurate and complete.

Opt-In

I authorize the camp staff to seek emergency medical treatment for my child if I cannot be reached.

Opt-In

I understand and agree to follow the camp's policies and procedures.

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Child Registration Form

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Give your child the adventure, friendships, and memories they’ll cherish forever!

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