Registration

Note: Filling out this form requires payment when submitting. Payments are secured by Pay-Pal. If you wish to pay by mail, see information at the bottom of this form. Thank You!

Child's Name*

Parents Name*

Address*

Child D.O.B*

Grade Attending *

Work Phone*

Mobile Phone*

E-mail*

T Shirt Size*

S ( 6- 8 )
M ( 10-12 )
L ( 14-16 )
Adult SM
Adult Med
Adult L
Adult XL

Days attending (Min.of 3 days)*

M
T
W
TH
F

Check the weeks your child will be attending and check lunch for the weeks you want to use the lunch program. (please note ! That you are charged for these weeks whether or not your child attends ) *

Field Trip Agreement:*

I Agree (By checking this Box you Parent / Guardian give permission for your child to participate in all activities and attend all bus field trips and / or walking field trips on the days your child attends summer camp at King's Kids Academy.

Once you click the submit button you will be transferred to Pay-Pal for payment. Please note you will be paying for one child and must submit one form for each child.

Paypal

King's Kids Academy Summer Camp

King’s Kids Academy Summer Camp

Camp Registration