November Mini CampSign Up Child #1 Name * First Name Last Name Child #1 Birthday and Current Grade * Sibling #2 Sibling #2 birthday and grade Sibling #3 Sibling #3 birthday and grade Parent Name(s) * Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Acknowledgement of Terms * I ACKNOWLEDGE that a completed Consent for Emergency Medical Treatment (LIC627) for the child(ren) listed above must be filed with Monica Ros before the start of camp. I ACKNOWLEDGE that a completed Emergency Contact Form (LIC700) for the child(ren) listed above must be filed with Monica Ros before the start of camp. If you are not automatically forwarded to payment, you can also click here. Step #1: Registration Form
