Week 1 Summer Camp: (June 6-10, 8:30 am – 4 pm) ages 5 – 14

$150.00

In stock (can be backordered)

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Description

Join the Kaleidoscope Discovery Center for a week of learning fun.
This week 1 program centers around Future City and will focus on engineering (subject to change!)

Monday – Friday: June 6 – 10, 8:30 am – 4 pm

This camp is for ages 5 – 14 (k – 8th grades)

Maximum registrants: 20. Registrants after 20 may register to be on a wait list when they check out and this product is marked as “back ordered”.

Campers are to bring their own lunch each day.

Week 1 Summer Camp Registration Form

Week 1 Summer Camp Registration Form

Registration form for Week 1 Summer Camp: (June 6-10, 8:30 am - 4 pm) ages 5 - 14

More than 2 students

Student 1 Info

Student Name
Student Name
First
Last
Student's Address
Student's Address
City
State
Zip/Postal
Country

Student 1's Legal Guardian

Legal Guardian Name
Legal Guardian Name
First
Last
Legal Guardian Address
Legal Guardian Address
City
State
Zip/Postal

Student 1 Additional Information

Does your student have any allergies we should be aware of?
List any allergies your child has and please list the reactions to those allergies:
Does your child have an EpiPen?
Is your child able to able to administer the EpiPen themselves?
List any special accommodations needed for your child or anything else you feel is beneficial for us to know. Or feel free to leave blank if there are none.

Student 2 Info

Student Name
Student Name
First
Last
Does student #2 have the same contact info as #1 (phone, address, legal guardian, etc.)
Student's Address
Student's Address
City
State
Zip/Postal
Country

Student 2's Legal Guardian

Legal Guardian Name
Legal Guardian Name
First
Last
Legal Guardian Address
Legal Guardian Address
City
State
Zip/Postal

Student 2 Additional Information

Does your student have any allergies we should be aware of?
List any allergies your child has and please list the reactions to those allergies:
Does your child have an EpiPen?
Is your child able to able to administer the EpiPen themselves?
List any special accommodations needed for your child or anything else you feel is beneficial for us to know. Or feel free to leave blank if there are none.

Additional Emergency Contact?

Besides the legal guardian(s) listed above, is there anyone else you'd like to list as an emergency contact?
Additional Emergency Contact Name
Additional Emergency Contact Name
First
Last

The Kaleidoscope Discovery Center

PLEASE READ CAREFULLY. THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS.
We may want to use photographs of your child in print or online material designed for news, informational or educational purposes related to The Kaleidoscope Discovery Center. Is this okay with you?

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