November 4 & 5, 2019 Mini Camp Registration
Please use the form below to register your kicker(s) for our November 4 & 5 mini camps at Van Ness elementary! We will cap attendance at 25 students, and will start a wait list after that.
Mini Camp Day(s) *
Required
Student Name *
Please list what student(s) would like to attend the mini camp.
Your answer
Grade(s) *
If you are registering multiple students, please list the grade each student is in. As a reminder, this camp is for 2nd-5th graders.
Your answer
Parent's Name *
Your answer
Parent's Phone Number *
Please provide a phone number where you are easily reachable during the day.
Your answer
Parent's Email Address *
Your answer
Allergies and/or Medical Concerns *
Please indicate if any of your children have allergies or medical issues I should be aware of (please write NA if they do not)
Your answer
E-Sign the Release of Liability *
By checking the box below, I am e-signing the release of liability, the text of which can be found at http://www.capitolkicks.com/release-of-liability.html
Required
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