August 18th - 22nd

9 am to 11:30am

Child's Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

Country

(###)

###

####

Email

Emergency Contact (Must Be Different Than Registering Parent)

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Child's Birthday

Child's Last Completed School Grade:

Allergies

Photo Release

Do you give permission to us to take photos of your child?