Creative Adventures
Summer Camp registration
form 2010
Parent/Guardian
Name:____________________________
Phone #________________Cell #_______________
Camper’s
Name:____________________________________
AGE_____ M____F____ Grade
Entering:______
Address: ____________________________________________
City:
Email Address: ___________________________________________________
Please circle all
that apply:
Session(s) 1
2 and/or Week(s): 1
2 3 4 5
6 7 8 9
Please read policy and complete this form and along
with $50.00
Registration Fee (made payable to Creative Adventures) and return to
TCA Office or
mail to:
Cheryl
Graham,
.