Registration Form

Registration Form for Chickadee Camp

* Indicates required field

Your Name *

First

Last

Phone Number *

Email *

Child's Name *

Child (sibling's) name *

Birthday (MM/DD/YYYY) *

Male/Female? *

Where will you be driving from? *

What are you thankful for? *

How did you find out about us? *

Are you signing up for all five sessions for $395? Or drop-in for $100/Sunday? *

Please tell us briefly about you and your child and what interests you about this offering: *

Anything else you would like to add? *

Submit