2021 KWCM Summer Camp Registration
Send your child(ren) on an awesome adventure this summer packed with hands on activities, crafts, games and fun designed around each week's unique themes.

Ages 3-7
Four day camp (Tuesday-Friday)
Mornings: 9:30 - 1:00 pm
Weekly Cost: $120/MEMBER - $135/NONMEMBER

After filling out this form, please call or stop by the museum to pay.



Email address *
Guardian Last Name *
Guardian First Name *
Street Address *
City *
Zip *
Home Phone *
Alternate Phone *
Museum Member *
Child 1 Name: *
What week(s) will child 1 attend? *
Required
Child 1 Birthdate *
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DD
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Child 1 Grade (entering in 2021-22 school year) *
Child 1 Gender: *
Child 1 T-shirt Size *
Child 1 Known allergies (enter NONE if there are no allergies) *
Child 2 Name:
What week(s) will child 2 attend?
Child 2 Birthdate:
MM
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DD
/
YYYY
Child 2 Grade (entering in 2021-22 school year):
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Child 2 Gender:
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Child 2 T-shirt Size
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Child 2 Known allergies (enter NONE if there are no allergies)
Child 3 Name:
What week(s) will child 3 attend?
Child 3 Birthdate:
MM
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DD
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YYYY
Child 3 Grade (entering in 2021-22 school year):
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Child 3 Gender:
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Child 3 T-shirt Size
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Child 3 Known allergies (enter NONE if there are no allergies)
Child 4 Name:
What week(s) will child 4 attend?
Child 4 Birthdate:
MM
/
DD
/
YYYY
Child 4 Grade (entering in 2021-22 school year):
Clear selection
Child 4 Gender:
Clear selection
Child 4 T-shirt Size
Clear selection
Child 4 Known allergies (enter NONE if there are no allergies)
Checking this box below acts as my electronic signature. This acts as a consent, release and waiver of liability form, which I fully understand and agree to. *
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A copy of your responses will be emailed to the address you provided.
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