Week 2 Summer Camp: (June 13-17, 8:30 am – 4 pm) ages 5 – 14

$150.00

Out of stock

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Description

Join the Kaleidoscope Discovery Center for a week of learning fun. This week will be about Robotics and focus on Technology (subject to change!)

Monday – Friday: June 13-17, 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 2 Summer Camp Registration Form

More than 2 students

Student 1 Info

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

Student 1's Legal Guardian

Legal Guardian Name
Legal Guardian Name
First
Last
Legal Guardian Address
Legal Guardian Address
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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

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