Sign-Up Form for Earth Magic Spring Break Camp on March 13th from 10am-2pm at The Children's Garden

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Please read and fill out this form to complete registration for Earth Magic Spring Break Camp at The Children's Garden. Fill out this form with your camper information as well as the contact information that we can best reach you with, then read below for further information and a release waiver for you to read and sign.

Email *

Parent/Caregiver Name *

Child's Name *

Child's Age - Must be at least 5 years old! *

Home Address *

Phone *

Emergency Contact Name and Phone Number *

Important Medical Information / Medication List

Please read and sign your name below to indicate signing in agreement to the information presented: I authorize emergency medical treatment for my child. I have notified The Children's Garden if my child has any medical issues or relevant medication. I agree to allow The Children's Garden to take and use pictures of my child solely for educational, promotional, and fundraising purposes on The Children's Garden's website and social media. *

Please write any other questions you have here.

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