Camp Amaras Register

Parent 1

Title

First Name

Last Name

Street Address

Street Address Line 2

City

Postal Code

Country

State/Province

Email

All Emails on this form MUST BE UNIQUE.

Phone Number

Affiliate Category

Affiliate Subcategory

Parent 2

First Name

Last Name

Email

All Emails on this form MUST BE UNIQUE.

Phone Number

Emergency Contact

First Name

Last Name

Email

All Emails on this form MUST BE UNIQUE.

Phone Number

Relation to Child(ren)

Child 1

First Name

Last Name

Birth Date

Enter year-month-day

School Name

Grade

Allergies

Mark 'none', if no known allergies

Has your child previously participated in Camp Amaras?

Yes

No

Alumni Category

Alumni Subcategory

Select your Kids Club Enrollment Sessions

Christmas Camp

Additional Information

How did you hear about Camp Amaras 1-Day Camp?

Website

Community

Google

Word-of-Mouth (friend)

I am over 18 years

Additional Notes

Code

By checking this, I acknowledge reading and agreeing to the terms of:

Liability and Health Screening Waiver

Camp Amaras Register

Parent 1

Parent 2

Emergency Contact

Child 1

Child 2

Child 3

Additional Information

Events

Programs

Performing Arts Center

Highlights

Camp Amaras Register

Camp Amaras Register

Parent 1

Parent 2

Emergency Contact

Child 1

Child 2

Child 3

Additional Information

Events

Programs

Performing Arts Center

Highlights

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