Kid's Camp Registration

Registration form for Cowan Community Center Weekly Camp programs.

First Name *

Last Name *

Name student goes by

Student's Age *

Choose Camp *

Art on the Creek Camp June 10-14

Headwaters on the Creek Camp July 8-12

Farm on the Creek Camp July 22-26

To register for the Kids on the Creek Music camp, contact Stacy Dollarhide. slyndollarhide@gmail.com

Allergies

Please list any allergies or medical conditions instructors and staff should be aware of.

Parent or Guardian *

First and Last Name please.

Parent E-mail *

Phone *

Home Address *

City *

State *

Zipcode *

Parent or Guardian 2

Second parent or guardian.

Parent E-mail 2

Phone 2

Home Address 2

City 2

State_2

Zipcode 2

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