2023 Camp Kuumba Registration
Please complete this form by May 15th
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Student's First Name *
Student's Last Name *
Student will be attending which camp 
(Campers will be added to the Waitlist when camps become full)
*
Student's Home Address *
Secondary Address (if applicable) *
Parent/Guardian 1 Full Name *
Relationship to Camper *
Phone Number *
Email Address *
Parent/Guardian 2 *
Relationship to Camper *
Phone Number *
Email Address *
Camper's T-Shirt Size *
Grade Next Year *
School Attended Last Year *
School Attending Next Year *
Free or Reduced Lunch *
Transportation Need TO Camp *
Transportation Need FROM Camp *
Will your child be attending the Kits Exploration Sports Camp (KESC) June 12th-30th from 9am-11am? *
Would your child be interested in attending the City of Evanston's Aquatics Camp on the lake front from 9:30am-12:30pm for 3 weeks after Camp Kuumba? The City will also provide our campers with afternoon programming at Mason Park from 12:30-5pm. We are limited to 20 spots per session *
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