KIDS YOGA CAMP REGISTRATION

Please quickly tell us a little bit about your child(ren) and we will get in touch with you.

Child Name

First Name

Last Name

Birthdate

MM

DD

YYYY

Additional Child(ren)

Please include the Name and Birthdate of Additional Child(ren) you will Send to Camp

Parent/Guardian Name

First Name

Last Name

Parent Email

Parent Phone

Country

(###)

###

####

Please share Emergency Contact Information Below

Include Name, the persons Relationship (ie: Grandmother, Neighbor, etc.) to Child(ren) and Phone Number(s)

Is there anything you would like us to know about your child?