2021 Camp Kindness Registration


Camper Information

First and Last Name*
Birthday (mm/dd/yyyy)*
Gender
School Attended in Spring 2021
School Attending in Fall 2021
Grade Entering*
Age*
What accommodations will be helpful to your child?
What activities does your child enjoy?
What activities doesn't your child enjoy?

Parent Information

Country*
Email*
Confirm Email*
Phone*
Please indicate relationship to child if guardian is other than Mother or Father

Registration

Quantity
Price
Total
Number of Campers attending Camp Kindness, June 16-18
X
$
60.00=
$
0

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments

Share This Form

Powered by eTapestry