Fall Break Camp Registration Form

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Fall Break Camp Registration Form - 2021

In order to confirm your child's registration, we must receive both your payment and your registration form - payment only does not reserve your spot! Please fill this out as soon as possible :) Thank you!

Child's Full Name *

Does your child prefer to be called by a nickname? (include below if so)

Gender

Female

Male

Other:

Clear selection

Child's Date of Birth *

YYYY

If registering a 2nd child, please add their info too:

Child's Full Name

Does your child prefer to be called by a nickname? (include below if so)

Gender

Female

Male

Other:

Clear selection

Child's Date of Birth

YYYY

Name of person filling out the form: *

Your email address: *

Your phone number: *

Which school does your child/ren attend? *

How did you hear about our Fall Break Camp? *

Have attended another camp with us before

Through The Aerial Lab

Poster/Flyer

Instagram

Facebook

Friend

Other:

Masks are required at The Aerial Lab at all times - we will take breaks outside for water and for eating lunch and snacks. If your child is sick, please keep them home. If they have COVID symptoms or are exposed to COVID, we require a negative test before returning to camp. We are very sorry that we do not offer refunds for missed days due to illness. Please confirm that you understand this and that your child has a well-fitting mask that they are comfortable wearing during activity. If you have questions, please call us at (530) 368-1647 or email at lucy@theaeriallab.com

Yes

I have questions and will call/email you, but I understand that by allowing my child to participate, I agree to these policies

Other:

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