Summer Camp Form
If you are interested in registering for the Positive Kids Camp, please fill out the registration below and someone will be in touch shortly
Parent First Name
Parent Last Name
Parent Email
Parent Mobile Phone
Additional Email
Parent Home Phone
Address
City
State
Zip
Notes
Birth Date
Child First Name
Child Last Name
Grade
Mobile Phone
Email
Special Requirements ( health, diet, etc)
Remove
Add Fields for Additional Student
Submit
