Registration Form Child Information * First Name Last Name .Date of Birth * MM DD YYYY .Does your child have any known medical conditions, allergies, or special needs we should be aware of to ensure their safety and well-being? Yes No ..If answer yes, please explain Select Week Registration * Week 1: July 7-11 Week 2: July 14-18 Week 3: August 5-8 Week 4: August 11-15 .Parents/Gaurdian Information * First Name Last Name .Phone * (###) ### #### .Email * .Address Address 1 Address 2 City State/Province Zip/Postal Code Country . Emergency Contact Info * First Name Last Name .Phone * (###) ### #### Thank you for your registration! We will contact you to confirm registration.
