Kaleidescape Enrollment
Registration ages 3 (potty trained) - 11 Cost: $180.00 per session 8:30 - 2:30
Campers are responsible for bringing a lunch Monday - Thursday. A Chick-fil-A lunch is provided on Friday.
Child's Name *
Your answer
Grade Entering Fall 2019 *
Session Options *
Choose as many sessions as you would like your child to attend
Required
Parent's Name *
Your answer
Parent's Address *
Your answer
Parent's Email *
Your answer
Emergency Contact #1 Name and Number *
Your answer
Emergency Contact #2 Name and Number *
Your answer
Special Allergies, medications or other concerns staff should be aware of.
Your answer
Liability Release *
Required
Parent/Guardian Consent *
Required
Consent for Treatment *
Required
Payment Options *
Required
We would love to know how you heard about Kaleidescape?
Your answer
Today's Date *
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