Glitter Kids Camp Registration — Fall 2023
Thank you for registering for the Glitter Kids Camp. 

A day of learning, pride, and celebration especially for elementary school students and their families.

If you have any questions, contact us at CoordinateSummit@gmail.com or visit the glitter kids camp website!

Everyone who attends must complete this registration form.

Registration closes on Thursday, September 28th by 11:59 pm. After the 28th, on-site registration will be available on the day of the event on September 30.

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Parent/Caregiver Name *
Caregiver Pronouns (optional)
Parent/Caregiver Preferred Email
Parent/Caregiver Phone Number *
Glitter Kids Corner 2023 T-shirt 

If you’d like one, what adult size?
Captionless Image
Clear selection

Additional Parent/Caregiver Name

Pronouns (optional)
Preferred Email
Phone
Glitter Kids Camp 2023 T-shirt 

If you’d like one, what adult size?
Captionless Image
Clear selection
Student’s Name *
Age *
School *
Grade *

Pronouns (optional)

Glitter Kids Camp 2023 T-shirt 

For students, what size?
Captionless Image
Clear selection

Caregivers must remain onsite during the Summit

Check boxes:

 *
Required
Additional Children/Students

Note: Siblings are welcome, please register them below

Note: For teens, they may register to attend the Teen Queer, Trans, and Allied Student Summit here

Name



Age
School
Pronouns (Optional)
Glitter Kids Camp 2023 T-shirt 

For students, what size?
Captionless Image
Clear selection
Name
Age
School (Optional)
Pronouns (Optional)
Glitter Kids Camp 2023 T-shirt 

For students, what size?
Captionless Image
Clear selection
What city are you from?
Food & Accommodations
My family’s dietary considerations include
 *
Food Allergies (please list allergies here)

Other (please describe here) 
Please let us know of any additional accommodations or accessibility needs for students and/or caregivers.
 *
Emergency Contact Information
Name *
Relationship to Student
 *
Phone *
Where did you hear about the Fall 2023 Glitter Kids Camp? *
Required
What do you wish to get out of the summit? *
Required
I’d like to start receiving the “Queer Youth Updates” electronic newsletter that includes local and regional LGBTQIA+/Ally events, news, resources, scholarship information and more. *
Required
Thank you for registering for the Fall 2023 Glitter Kids Camp  - See you soon!
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