Creative Kids Summer Camp Registration Form

Parent/Guardian Name *
Parent/Guardian Name
Phone *
Phone
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Child 1 Name *
Child 1 Name
Child 2 Name
Child 2 Name
Child 3 Name
Child 3 Name
Camp runs from 9am - 12pm on Tuesday, Wednesday & Thursday during June, July & August