Camp Kaio Camper Registration
June 23-27
Which age are you registering for? *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Street Address *
Your answer
City/State *
Your answer
Zip Code *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade completed by May 2019 *
Gender *
Shirt Size (YOUTH SIZES RUN SMALL/SHORT!!!) *
Mother's Name *
Your answer
Father's Name *
Your answer
Parent Email Address *
Your answer
Parent Cell Phone *
Your answer
Church Home *
Your answer
How did you hear about Camp Kaio?
Your answer
Does your child have any special instructions, medical needs, or allergy information we need to be aware of? Please specify if your child will be bringing any medication or an Epi pen. *
Your answer
This question is for SENIOR CAMPERS only. Are you willing to move up to be a junior counselor (assisting a senior counselor) in the KAIO Junior Camp if needed?
Who filled this form out (please list your name and relationship to child registered)? *
Your answer
PLEASE NOTE THAT YOUR REGISTRATION IS NOT COMPLETE AND YOUR SPOT IS NOT RESERVED UNTIL PAYMENT HAS BEEN GIVEN. *
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