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* Indicates required information
First child
 
Child's name: * Month Day Year
Day of Birth: *
Gender: *  Female   Male
Does your child have any medical conditions the staff should be aware of (i.e. allergies)?
Indicate any special medical attention your child may require:
 
Swimming ability: Does your child require a life jacket in shallow water? * Yes   No
For possible future advertising we need consent from parent to include photographs and video of children * Yes   No
Is your child allowed to go on the waterslides? * Yes   No
 
  Aug 21
to
Aug 25
Aug 28
to
Sep 1
 
Chipper's Day Camp
(Ages 6 - 12)
 
Chipper's Jr. Day Camp
(Ages 4 - 5)
 
MVP Sports Camp  
Chef Camp  
Eco-Explorers Camp  
Paintball Camp  
Camp Couture (Fashion Camp)     
Bowling Camp    
MineCraft Camp  
Arts Camp    
 
 
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Emergency contact information
Contact name(s): * Home phone: * Work phone: