LOFT Kids Summer Camp Registration
Please complete the below form in full (if registering multiple children, we will need 1 form per child). A space will be reserved for your child once we receive your payment and registration form. If you have any questions, email info@theyogaloftofbethlehem.com. Thank you!!
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Email  *
Full Name (Parent) *
Phone Number *
Address *
City *
State *
Zip Code *
Name of Child *
Child's Date of Birth  *
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Which camp are you registering your child for? (If attending both weeks, select both below).  *
Required
If your child is in the Mini Warriors group (ages 3-5), will you need extended care from 11-11:30am? ($5 per day added cost) 
Clear selection
Emergency Contact (someone available during camp hours) - Name & Phone Number *
Does your child have any allergies? If yes, please list below. 
Please include any additional information you'd like us to know about your child. 
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