Creative Kid Company

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1. 2009 Summer Camp Registration Form
2. Child Name (required)
3. DOB (required)
4. Age(required)
5. Sibling Name
6. DOB
7. Age
8. Friend Name
9. DOB
10. Age
11. Parents Names
12. Address
13. City/State/Zip
14. Email Address(valid email required)
15. Confirm Email(valid email required)
16. Daytime Phone(required)
17. Cell Phone(required)
18. Emergency Contact And Phone(required)
19. If There Is Someone Other Than A Parent Authorized To Pick Up Your Child From Camp
20. Please List Here
21. Special Needs, Physical Limitations, And Food Allergies
22. Please List Here
23. I Wish To Enroll My Child(Ren) In The Following Camp(S):
24. Session I: July 6-10 (Rising 2nd-4th) M-F 8:30-1:00pm (Closed) $125.00
25. Session II: July 13-17 (Rising 4th-7th) M-F 8:30-3:30 (Closed) $150.00
26. Session III: July 20-24 (Rising 2nd-4th) M-F 8:30-1:00pm $125.00
27. Session III
28. Session IV: July 27-31 (Rising 4th-7th) M-F 8:30-3:30 $150.00
29. Session IV
30. Session V: August 3-7 (Rising 1st-3rd) M-F 8:30-12:00 $110.00
31. Session V
32. Session V: August 3-7 (Rising 6th-8th) “Growing Leaders” Mon, $220.00
33. Session V Growing Leaders
34. 5% Discount For Multiple Session Signup
35. Are You Willing To Be A Parent Volunteer?

 

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To register call: 615-812-2198

Questions? Email evie@creativekidcompany.com

*Checks payable to Creative Kid Company