Kidz Kamp Registration

Parents, please begin this form by inputting your name and contact information. You will also need to complete a waiver for each child, which can be found here. You'll also receive an email that has a link to the waiver form. (Check your junk mailbox as your provider may filter it there!)

No child is permitted to attend Kamp without a waiver being completed, signed and dated.

* First Name

* Last Name

* Gender

* Birth Date

* City

* Zip/Postal Code

* Email

* Mobile Phone

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* Full Name of Child 1

* Birth Date of Child 1

* Gender of Child 1

Full Name of Child 2

Birth Date of Child 2

Gender of Child 2

Full Name of Child 3

Birth Date of Child 3

Gender of Child 3

Full Name of Child 4

Birth Date of Child 4

Gender of Child 4

Full Name of Child 5

Birth Date of Child 5

Gender of Child 5

* In the event of a medical emergency, are there any allergies or medical information that our staff should be aware of?

* Permission for the Following to Pick Up My Child From Kidz Kamp (Please List 3 Names Along With Their Contact Information)

Kidz Kamp Admin Only

- Section for Kamp Administrators

Kamp Waiver on file for Child 1?

Kamp Waiver on file for Child 2?

Kamp Waiver on file for Child 3?

Kamp Waiver on file for Child 4?

Kamp Waiver on file for Child 5?

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Kidz Kamp *Admin Only*

Processing registration ...

Kidz Kamp Admin Only