Kids Fun Camp Registration Form
Please provide your details to register for the summer camp.
Attention: We want every child to have the best camp experience, unfortunately our staff members are not trained to properly meet the needs of Special Needs children (physical & behavioral needs). We hope that in the future we will be able to welcome all children. Sincerely - OTR Funplex
Camper's Full Name
*
First Name
Last Name
Campers Date of Birth
*
-
Month
-
Day
Year
Date
Camper's Gender
*
Male
Female
Other
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Authorized Pick Up Person (1)
First Name
Last Name
Additional Authorized Pick Up Person (2)
First Name
Last Name
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the participant have any allergies, snack preferences, or medical conditions? (N/A if none)
*
Select Camp Session(s)
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next
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OTR Funplex: Kids Fun Camp - Session 1 (June 15-19)
$215.00
$
215.00
Quantity
1
2
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4
5
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15
OTR Funplex: Kids Fun Camp - Session 2 (July 13-17)
$215.00
$
215.00
Quantity
1
2
3
4
5
6
7
8
9
10
OTR Funplex: Kids Fun Camp - Session 1 & 2 (June 15-19 & July 13-17) - SAVE $40
$390.00
$
390.00
Quantity
1
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9
10
Payment Methods
Credit Card
Afterpay
After submitting the form, you will be redirected to Afterpay to complete the payment.
Register
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