Creative Kids Camp Registration Form
Participant Information
Child Name
*
First Name
Last Name
Birthdate
*
We provide an afternoon snack. Please list any dietary restrictions.
*
Second Child Name
First Name
Last Name
Second Child Birthdate
Second Child -We provide an afternoon snack. Please list any dietary restrictions.
Third Child Name
First Name
Last Name
Third Child Birthdate
Third Child -We provide an afternoon snack. Please list any dietary restrictions.
Parent Information
Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Select KidsCAN series your child will attend:
*
prev
next
( X )
Registration Fee For one child
$
250.00
CAD
Quantity
1
2
Item subtotal:
$
0.00
CAD
Additional Children
$
225.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
I give permission for Taghum Hall to use photographs of my child to be used in future promotions or newsletters.
Yes
No
Submit
Should be Empty: