Kops and Kids Camp Registration Form
Please fill out this form in it's entirety. Kops and Kids Camp will be held on Sunday, April 15th, Monday, April 16th and Tuesday, April 17, 2018. Students must be able to participate in all 3 days. Once your child is signed up, you will be notified by email of his/her acceptance, and you will be given emergency forms to fill out. Sign ups are open on a first come, first served basis, so please register early.
Arrrgh....It's going to be Pirate Week at Kops N Kids Camp!
Coming April 2018
Student's Name *
(Last Name) (First name)
Your answer
Address *
(Street Address, P.O. Box, City/State/Zip)
Your answer
Phone Number *
(413)-xxx-xxxx
Your answer
Parent's Names *
Please enter names of parent(s) or guardian
Your answer
Your child's date of birth *
(MM/DD/YY)
Your answer
Has your child attended any previous Kops and Kids functions? (Camp, Kayaking, Halloween party, etc.) If so, which ones? *
Your answer
Please have your child write a few statements about why they would like to attend this years' Kops and Kids camp. Parents may assist younger children. *
Your answer
What school and grade does your child currently attend? *
Your answer
How did you hear about Kops and Kids camp? *
Parents' email address: *
Please enter your email address so that we can confirm your registration.
Your answer
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