Step Two – 2015 Summer Camp Follow-up Registration Form

Step Two - 2015 Summer Camp Follow-up Registration Form

One form per camper please.
1 2015 KMS Summer Camp Application
2 Parental Release Form
  • Summer Registration and Payment Information

  • Please complete the summer camp follow-up registration form only after receiving payment confirmation from KMS Bookkeeper.
  • Camper Information

  • Please follow this format (###)###-#### (no spaces)
  • Parent 1/Guardian 1 Information

  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Parent 2/Guardian 2 Information

  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Emergency Contact Information

  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Please follow this format (###)###-#### (no spaces)
  • Current School

  • Camper Health Information

  • Physician Information

  • Please follow this format (###)###-#### (no spaces)
  • Permission to leave

    The following people, other than parents are authorized to pick up my child: (NOTE: They will be asked for valid photo ID.)