Camp Skillz 2019 Registration Form
Please read before filling our the registration form:

One registration form must be filled out for EACH camp participant. Be sure to fill out ALL Required fields properly. Registration fees must be paid at checkout to hold a spot. The balance has to be paid within two weeks of the beginning of your camper(s) session(s), or your spot will be forfeited along with your registration fee. If you need to re-enroll, you'll be subject to the current camp session capacity and registration fee. Your emailed receipt after checkout functions as your confirmation of successful registration.
 
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Camper's Last Name *
Camper's First Name *
Camper's Date of Birth *
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/
DD
/
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Camper's age during camp dates *
Camper's Gender *
Tell us a little about this camper! i.e. Interests, favorite subject(s) in school, excitement or fears about camp?? Things we should know :) *
Home Address *
City & State *
Zip Code *
Primary Parent / Guardian First and Last Name *
Cell Phone (XXX-XXX-XXXX) *
Work Phone (XXX-XXX-XXXX) *
Email Address *
Secondary Parent / Guardian First and Last Name *
Cell Phone (XXX-XXX-XXXX) *
Work Phone (XXX-XXX-XXXX) *
Emergency Contact - First and Last Name *
Emergency Contact - Relation *
Emergency Contact - Cell Phone (XXX-XXX-XXXX) *
Emergency Contact - Work Phone (XXX-XXX-XXXX) *
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