2017 KinderCamp Registration

July 31 - August 3
9:00am - 12:00pm

Student's Name
Parent's Name
Primary Contact Number
Secondary Contact Number
Student's Address
Did your child attend preschool?

Did your child attend preschool? Yes No
If yes, where did your child attend preschool?
Please list any Health/Allergy Information:
Is there any additional information that would help our staff create a positive learning experience for your child?
Spam Protection. Please answer this simple question:
1 + 2 = ?