Splash Camp Sign Up

To register, please complete this form for each child who plans to attend camps. All fields are required to ensure that your child is registered and included in the camp of your choice.

Child's Name:
Age:	Sex: Male Female
Grade Completed:	DOB:
Sign me up for the following camp(s):
Splash Tuesdays (ages 3+) from June 22-July 27, 2010, 9:30 AM-12 Noon Splash Wednesdays (K-5th grade) - June 23-July 28, 2010, 9:00 AM-4:00 PM
Does your child have any medical conditions, allergies or dietary restrictions that we should be aware of? Yes No
If YES, please explain:
Parent/Guardian:
Address 1:
Address 2:
City:
State:	Zip:
Phone:
Email:
Comments/Questions: