Summer Camps Registration

Parent/Guardian First name

Parent/Guardian Last name

Email

Phone

Address

Emergency Contact First and Last Name

Emergency Contact Phone

Camper First and Last Name

Camper Age and Date of Birth.

Camper Gender

Girl

Boy

Child's Doctor

Doctor's Phone

My signature below certifies that my child's age appropriate mandatory state required vaccinations are current and up to date. *Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Medical power of attorney. I authorize that any staff member of New Beginnings Summer Camp may order any and all forms of emergency medical treatment for my child due to injury or illness while at camp. Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Does your child have allergies? Medical Needs? Other Information that needs to be shared...

I am registering my child for the following camps.

Camp 1 — RAINFOREST FALLS June 8 —11 (VBS)🐸 No Fee

Camp 2 HEAVEN'S KITCHEN June 22 — 25 👨🏻‍🍳 $150

Camp 3 — DISNEY DAYS! July 6—9 💫 $150

Camp 4 — COMMUNITY HEROES DAY! July 15 🚨 $50

Camp 5 — MAD SCIENCE! July 20-23 🦠 $150

Camp 6 — ALOHA SUMMER! ! August 12 🏝 $50

Payments

— A $20 deposit is required at the time of registration per camp (per camper).

— Additional 25% discount for total camp fees for additional siblings.

— Camp needs to be fully paid by first day of each camp.

I have read the payment section and will bring or mail a deposit for my campers. 209 Morris Street Charleston, WV 25301

Check Here