Kids Camps
This form is required to register your child for our summer kayak camps. Please contact Sarah Gilliam at or 910-777-9834 if you have any problems with this form. Thank you for paddling with us!
2014 Dates (select one) *
To enroll your child, select a camp that works with your family's summer schedule.
First Name *
Last Name *
Preferred Name/Nickname *
Parent or Guardian's Name *
Cell Phone (Parent/Guardian) *
Evening Phone *
Email Address (Parent/Guardian) *
Address *
City *
State *
Zip *
Child's Date of Birth (mm/dd/yy) *
Age *
Current Grade *
Gender *
Returning camper? *
Height *
Weight *
Does your child have any allergies or medical conditions we should know about? *
Does your child have previous experience with kayaking? *
Can your child swim? *
How did you hear about our camps? *
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