Winter Camp Registration Form

1. Full Name of Child:

2. Gender:

Male

Female

3. Date of Birth :

4. School Name:

5. Grade/Class:

6. Parent/Guardian Full Name:

7. Relationship to Child:

Mother

Father

Guardian

8. Primary Contact Number:

9. Alternate Contact Number (Optional):

10. Email Address:

11. Residential Address:

12. Do you require pick-up/drop-off service?

Yes

No

13. Does your child have any allergies?

Yes

No

14. Emergency Contact Person (other than parent):

17. Do you allow your child’s photos/videos to be used for camp documentation and promotional materials?

Yes

No

18. Additional Notes from Parent (Optional) - Anything we should know to ensure your child has the best experience?

19. Declaration :

I confirm that all information provided is accurate.

Winter Camp Kids 2026