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!

© 2020 by Kidzercise.

* required

Thanks for submitting!

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