2018 Camp Kindness Registration

Camper Information

Please insert information for the first child attending camp.

First and Last Name*
Birthday (mm/dd/yyyy)*
Gender
  • Boy
  • Girl
School Attended in Spring '18
School Attending in Fall '18
Grade Entering*
Age*
What extracurricular activities does your child enjoy?
T Shirt Size
  • Small
  • Medium
  • Large
  • X-Large
I hereby give consent for emergency medical treatment, to be used only if I cannot be reached immediately. *
  • Yes
  • No
 
 
 

Parent Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Please indicate relationship to child if guardian is other than Mother or Father

Registration

Quantity
Price
Total
Camp Kindness 6/13-15
X
$
60.00=
$
0

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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