Enrollment Form | May 2026
Open to ages 9 - 12 years old, Located near Caraway Elementary.
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Name of Child (Camper) :  *
Age of Child (Camper) :  *
Required
Parent 1 Full Name *
Parent #1 Phone Number 
Parent #1 Email *
Parent / Guardian 2 Full Name *
Parent / Guardian #2 Phone Number *
Parent/Guardian #2 Email
Will anyone other than Parents or Guardians 1 or 2 be dropping off and picking up? If so, please list all names & phone numbers below : 
Are you enrolling your child for all 3 Days or 1 or 2 days? (Check all that apply) *
Required
Select dates below if choosing 1 or 2 days 
Does your child have experience with any of the following ?  *
Required
Does your child have any allergies? If so, please list all here *
Can you share a few words or a few sentences to describe your child's nature & interests?  *
Which of the following would your child enjoy? List as many as you like :  *
Required
Thank you! 

Once we receive your completed form, you will receive an email with further instructions for completing registartion and payment. 

Also look for the  Liablity Waiver & other camp forms. 

Please check your email (check bulk / promotions for emails from namaste@shaktiatx.com). 

If there's anything else you wish to share - please do so here: 
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