2020 Summer Camp Registration - Toddler
Steeple Kids Summer Camp 2020 - Return by MAY 22nd
Registration Form For Toddlers
Child's Name _______________________________________________________________________________________________________________________
Child's Date of Birth ________________________________________________________________________________________________________________
Mother's Name (or legal guardian) ____________________________________________________________________________________________________
Address ___________________________________________________________________________________________________________________________
Home phone/cell Phone _______________________________________________________________________________________________________________
Father's Name (or legal guardian) _______________________________________________________________________________________________________
Address ______________________________________________________________________________________________________________________________
Home phone/cell phone ________________________________________________________________________________________________________________
Enrollment Information
Room _______________________________M____T____W___TH___F____ * minimum of 2 days
Circle one: Half day (ends at 1:00) Full Days
Arrival Time ______________________ Pick Up Time _________________________
Please return this form along with your summer activity fee: $80.00
Downstairs water play days are Tuesday and Friday
Parent Signature _____________________________________________________________Date _____________
T-shirt Information : Child's Name _______________________________________________
T-Shirt Size: (please circle one) XSM(2/4) SMALL (6/8) Medium (10/12) Large (14/16)
RETURN BY FRIDAY MAY 22nd for T-Shirt Orders - Registration after this date will not be guaranteed at T shirt
