Pitter Patter Critter Camp Registration
Please fill out the following form to enroll your child in one or more critter camp sessions.
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Names of parents/legal guardians with emails and phone numbers *
Names and phone numbers of anyone else authorized to drop off or pick up your child *
Name(s) and Age(s) of children registering for camp *
Select camp dates *
Required
Please list any dietary, allergy or medical issues we need to be aware of. *
Is your child able to use the restroom on their own? If not, please list what type of assistance they require. *
Please tell us a bit about your child's personality: likes, dislikes, strengths and challenges. *
I give permission to have photos of my child used by Pitter Patter Parenting for marketing purposes, without the use of any names. *
Payment for each session is due in advance to reserve your child's spot. Each session is $30, or $100 for 4 or $200 for all 8 sessions. No refunds are given, but dates may be switched based on availability. How will you be paying? *
I hereby verify that all of the above information is complete and accurate to my knowledge. I understand that Pitter Patter Parenting is not responsible for personal property or personal injury sustained by the participant and I hereby agree to hold harmless Pitter Patter Parenting and it's personnel from such losses or injuries. In the event that a parent/legal guardian can not be reached in an emergency situation involving the above-named participant, I hereby give permission to the camp director to seek medical treatment for the above-named participant. I agree to notify the camp director of any changes prior to each camp session. My typed name below serves as my signature agreement to these terms. *
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