JKG Camp Registration 19-20

Register Children




Please provide the details of all the children you wish to enroll in camp.

Student














Allergies/Dietary Requirements/Medication
Please list all allergies, dietary requirements and medication for this child. Please use alpha-numeric characters only [a-z 0-9]







Parent Details

Parent/Guardian 1








Parent/Guardian 2











Emergency Contact 1




Emergency Contact 2





Payment Information






Payment Information









Billing Address