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ยป Kid's Camp Registration
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
*
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
*
Parent or Guardian 2
Second parent or guardian.
Parent E-mail 2
Phone 2
Home Address 2
City 2
State_2
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode 2
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