Please fill out the following form before your child's first day of camp.

Camp Attending *
Which camp have you enrolled your child in?
First Day of Camp?
First Day of Camp?
Have you previously attended camp at Sprouts or Sprouts Maker Space? *
Campers Name *
Campers Name
Birth Date *
Birth Date
Address *
Address
Parent/Guardian Name: *
Parent/Guardian Name:
Cell Phone
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
Parent/Guardian Name
Parent/Guardian Name
Cell
Cell
Work
Work
Address (if different from above)
Address (if different from above)
Emergncy Contact / Authroized for Pick Up
Emergncy Contact / Authroized for Pick Up
Contact Number
Contact Number
Adult Authorized for Pick Up
Adult Authorized for Pick Up
Contact Number
Contact Number
Waiver Forms *
Please check each waiver to agree.
Please inform us of any other information you think we may need to know.
I hereby certify that all the information given regarding my child's registration is deeped complete and accurate.
Date *
Date