CULTIVATE GOODNESS

Kindness Camp

Learn how to be confident and kind leaders.

Registration Form

Child's Name(Required)

Child's age and grade for fall of 2024(Required)

Parent Name(Required)

First Last

Parent's Phone(Required)

Parent's Email(Required)

Secondary Contact Person's Name(Required)

First Last

Secondary Contact Person's Phone(Required)

Which week would you like to attend camp? Camp is held at the community room at HD South at 10 S. Gilbert Rd. in Gilbert.(Required)

June 3rd-7th 10:30-12:30 pm

June 10th-14th 10:30-12:30 pm

June 17th-21st 10:30-12:30 pm

Does your child have an IEP, 504, or a diagnosis? If yes, this will require a phone call with the camp director. This is to create a plan to ensure your child's success at camp.(Required)

Yes

Does your child suffer from any type of food allergy? If yes, please describe the type of allergy and its restrictions.(Required)

Is there anything else you want me to know about your child?(Required)

How did you hear about Kindness Camp?(Required)

Signature(Required)

Date(Required)