2026 Kickapoo Kids Camp Registration 
January 20th @ 10:00 A.M. 

$100.00 Registration Fee per camper due by January 30th   (ONCE YOU ARE CONFIRMED IN CAMP!)

First Day of Camp : Friday, May 22nd 
Last Day of Camp : Tuesday, August 4th 
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Parent/Guardian #1 Name  *
Email *
Your Phone Number  *
Your Address  *
Do you have a household created on our software system MyRec? 
**If you were in camp in 2024 OR 2025 your answer is yes**
 *
Parent/Guardian #2 Name 
Their Email
Their Phone Number 
Camper #1 Name  *
Camper #1 Birthday  *
MM
/
DD
/
YYYY
Camper #1 Shirt Size *
Does Camper #1 require any special medical care? If so please specify. 

Example : Carries Inhaler, EpiPen, Takes Medication at Lunch
 *
Dietary restrictions for Camper #1 *
Camper #1 Grade in AUGUST 2026 *
Camper #2 Name 
Camper #2 Birthday 
MM
/
DD
/
YYYY
Camper #2 Shirt Size
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Does Camper #2 require any special medical care? If so please specify. 

Example : Carries Inhaler, EpiPen, Takes Medication at Lunch
Dietary restrictions for Camper #2
Clear selection
Camper #2 Grade in AUGUST 2026
Clear selection
Camper #3 Name 
Camper #3 Birthday 
MM
/
DD
/
YYYY
Camper #3 Shirt Size
Clear selection
Does Camper #3 require any special medical care? If so please specify. 

Example : Carries Inhaler, EpiPen, Takes Medication at Lunch
Dietary restrictions for Camper #3
Clear selection
Camper #3 Grade in AUGUST 2026
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I understand and agree that I am required to pay for all ten weeks of Kickapoo Kids Camp 2026. The total cost for camp is $1,550 + $100 Registration Fee for City Residents and $1,850 + $100 Registration Fee for Non- City Residents. *
Required
I  am aware that there is a now a 3% convenience fee that will be applied to ALL credit card transactions. 

To avoid this fee you may pay cash or check at the Recreation Center front desk or by mailing your payment to our address.
 *
Required

I agree to stay up to date on payments according to the payment schedule below. 

$100 Registration Due by Jan 30th.  (ONCE CONFIRMED IN CAMP!) 

$155 for City Residents/$185.00 for Non Residents - due 2/20

$155 for City Residents/$185.00 for Non Residents - due 3/20

$155 for City Residents/$185.00 for Non Residents - due 4/17

$155 for City Residents/$185.00 for Non Residents - due 5/22

$155 for City Residents/$185.00 for Non Residents - due 5/29

$155 for City Residents/$185.00 for Non Residents - due 6/5

$155 for City Residents/$185.00 for Non Residents - due 6/12

$155 for City Residents/$185.00 for Non Residents - due 6/19

$155 for City Residents/$185.00 for Non Residents - due 6/26

$155 for City Residents/$185.00 for Non Residents - due 7/3

*IF YOU FAIL TO COMPLETE A PAYMENT YOUR CHILD WILL NOT BE ALLOWED TO COME TO CAMP UNTIL CURRENT STATUS OF PAYMENTS IS MET.*

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