Zen Kids Yoga & Craft Adventure Camp
Contact: 1-615-521-4869
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Parent's Name *
Email *
Phone Number: *
Camper's Name: *
Camper's Age: *
What week will you attend? *
Required
Any Allergies? If yes, please list. *
Does your child have any medical conditions or dietary restrictions? if Yes, please list. *
Is your child currently taking any medications? If yes, please list.
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Does your child have any physical limitations or require any special accommodations?
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Can your child swim independently?


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Does your tween require a floatation device? 

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Swimming Level: *
Emergency Contact: (Name and phone number) *
Permissions and Consents:

Photo and Video Release:

I grant permission for Zen Kids Yoga & Craft Adventure Camp to use photographs and videos of my child for promotional purposes.


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Emergency Medical Treatment:
In the event of an emergency, I authorize the camp staff to seek medical treatment for my child if I cannot be reached.


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Pool Activity Consent:
I give permission for my child to participate in pool activities under the supervision.

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Is there anything else we should know about your child to ensure they have a positive camp experience?

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Payment Information:

Camp Fee:

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Payment Method: (Link will be sent to you) *
Required

Agreement:

By signing below, (Initial) I confirm that the information provided is accurate and complete to the best of my knowledge. I agree to the camp's terms and conditions and understand the policies regarding health and safety, payments, and consents.

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