Kids Registration

Your Full Name *
Relationship To Child(ren) *	Mother Father Grandparent Stepparent Legal Guardian
Who Has Custody *	Mother Father Both Mother and Father Grandparent Legal Guardian
E-mail *
Cell Phone *
Home Address *
How did you find us? *	Found on google Facebook Ad Friend told me Returning Family
Company You work For *
Work Phone *
Emergency Contact *
Emergency Phone Numer *
How Many Children Registering *
1st Child's Name, D.O.B., Sex *
1st Child's Race *	American Indian/Alaskan Native Asian Black/African American Hispanic Latino Other/Mixed Race White Prefer Not to Answer
1st Child's Any Allergies *	Yes Food Allergies Yes Seasonal Allergies Yes Food and Seasonal Allergies No Allergies
2nd Child's Name, D.O.B., Sex
2nd Child's Race	American Indian/ Alaskan Native Asian Black/ African American Hispanic Latino Other/ Mixed Race White Preferred Not To Answer
2nd Child's Any Allergies	Yes Food Allergies Yes Seasonal Allergies Yes Food and Seasonal No Allergies
ClIck here for camp policies *	I have read and agree to all camp policies
I agree that all payments are due by Friday for the upcoming week & there is a $10 late fee *	Yes Sponsor Paid
Accuracy *	Yes I agree that all information provided is complete and accurate