Rising Stars Camp In The Park Registration Form -- entering 2nd-6th grade
Questions? E-mail Kerith at
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Child's First & Last Name (use nickname if preferred)
What Grade Level Is Your child Entering this Fall?
Unisex t-shirt size for camper
Has your child participated in any programs with Kerith Telestai in the past? (Check all that apply.)
Boise Parks & Rec
Born To Succeed
If your child hasn't worked with Kerith Telestai in the past, how did you hear about Rising Stars?
Adult 1 Name
Adult 1 E-mail
Adult 1 Phone
Adult 2 Name
Adult 2 E-mail
Adult 2 Phone
Any health or learning notes for Kerith? (asthma, diabetes, outdoor concerns, allergies, ADHD, autism spectrum, etc.)
I acknowledge that this camp carries a certain amount of risk, as would any outdoor or movement activity. In the event that my child should be injured, I assume all responsibility and will not hold Kerith Telestai liable.
I give my permission for my child to be photographed/recorded without his/her name attached for the purposes of promoting this program.
I agree to monitor my child's health and NOT send them if they show any symptoms of Covid-19.
I understand that the $210 tuition is non-refundable and must be paid within 24 hours of completing this form in order to secure my child's place in this camp.
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