SUMMER CAMP REGISTRATION | Mysite

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SUMMER CAMP 2025 REGISTRATION

(Downloadable Form)

(Downloadable Form)

Parent / Guardian First Name

Parent / Guardian Last Name

Street Address

City

Postal / Zip code

Street Address Line 2

Region/State/Province

Country

Phone

Email

Participant Name

Participant Name

Participant Name

DOB

DOB

DOB

T-Shirt Size

T-Shirt Size

T-Shirt Size

Campers Start Date:

Time of Arrival:

Campers End Date:

Time of Departure:

CAMP LOCATION * Required

Sicklerville (located at Winslow Baptist Church)

Days:

Monday

Tuesday

Wednesday

Thursday

Friday

Please check which weeks your children will be attending KIDZERCISE Summer Camp:

June 23rd

June 30th

July 7th

July 14th

July 21st

July 28th

August 4th

August 11th

August 18th

August 25th

Medical Conditions/ Allergies:

Emergency Contact:

Signature:

Date:

REGISTRATION FEE MUST BE PAID TO SECURE YOUR CHILDS SPOT

PAYMENTS CAN BE MADE ON OUR HOME PAGE UNDER THE "MORE" TAB OR CONTACT US FOR MORE PAYMENT OPTIONS

Thanks!

Contact Us: (856)723- 7760
1273 Blackwood Clementon Rd
Clementon NJ 08012

© 2020 by Kidzercise.

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