Registration

MAKE KIDS! summer camp registration form

* Indicates required field

Child's Name *

First

Last

Age *

Grade as of September 30, 2023 *

Parent/ Guardian 1 Name *

First

Last

Parent /Guardian 1 Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email *

Emergency Contact Name and Numbers (other than parent 1) *

Allergies and Medical *

Chose all that apply: *

June 26-30 Recycled (1 - 4 p.m. ONLY) July 10-14 Nature and Art August 7 - 11 Anything Goes

Submit