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Participant's First Name
*
Your answer
Participant's Last Name
*
Your answer
Grade Level
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Choose
Kindergarten
First
Second
Third
Four
Five
Six
School
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City
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Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent Email
*
Your answer
Contact Number
*
Your answer
I agree to participate both days of the virtual camp
*
Yes
Required
Photo Permission Agreement: I authorize Little Helpers to use/publish my image/photo in social media, websites, newspapers, newsletters and/or miscellaneous publications.
*
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No
If you answered YES to the above question, please type the Parent/Guardian full name.
Your answer
Thank you for registering! Please contact us at
littlehelpers2015@gmail.com
if you have any questions or concerns. Also, visit us at
www.littlehelpers2015.org
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