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Which Camp(s) are you registering this camper for? *
Day Camp (July 2-6) - Gr. K-6 Sports Camp (August 13-17) - Gr. 1-6

PLEASE NOTE: Spaces are limited and cannot be guaranteed until actual payment is received!

However... unfortunately... I am not advanced enough to allow online payments yet! Sorry!
Camper Name * First Last
Contact Email *

This is how Jeremy & Rosewood KIDS will communicate with you!
PLEASE BE SURE TO CHECK THIS EMAIL THE WEEK BEFORE CAMP!
Preffered Phone Number * ### - ### - ####
Cell Phone or Home phone
Whichever you are more likely to pick up!
Date of Birth: MM / DD / YYYY
T-Shirt Size *

Sizes appear in ascending order of sizes.
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please indicate the camper's:
HEALTH CARD NUMBER & list any ALLERGIES:
Emergency Contact Name & Phone Number
I give the Rosewood KIDS team permission to use pictures of my child in various mediums.

This is so we can use pictures in things like slideshows, brochures, posters, website.
Do Not Fill This Out

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