Camp Kinder Registration

Choose Session*

Choose Camp Day/Time*

Name of Camper*

First Last

Birth Date*

Grade Entering

Please enter a value between 1 and 12.

Gender

List any allergies your child has or precautions we should know:

Parent's Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Alternate Phone*

Email Address*

Method of Payment*

We cannot accept payment over the internet. Please call or mail in the registration form with payment.

Questions / Comments

Contact Us!
(254) 235-1850