Kool Kidz Foundation

Thank you for your payment. Please complete the camp registration form below.

Parent/guardian name(s):
Address:
City:
State:
Zip:
Phone: (h)
Phone: (c)
Email address:
Interested in volunteering at camp?	Yes No

First Camper name:
First Camper Gender	M F
First Camper DOB:
First Camper Camp Selection
T-shirt size:	child S M L adult S M L XL
Assistance level:

Second Camper name:
Second Camper Gender	M F
Second Camper DOB:
Second Camper Camp Selection
T-shirt size:	child S M L adult S M L XL
Assistance level:

Third Camper name:
Third Camper Gender	M F
Third Camper DOB:
Third Camper Camp Selection
T-shirt size:	child S M L adult S M L XL
Assistance level:

: Main
: Camps
: Respite
: Teen
: Swim Team
: Kool Kidz Closet
: Scholarship

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