Minecraft Camp (age 9-14) Registration Form

    Minecraft Registration (Age 9-14)

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    Minecraft Camp Date: (June 13-17)

    Parent or Guardian First Name:*

    Parent or Guardian Last Name:*

    Home Phone*:

    Cell Phone*:

    Email*

    Address*




    Emergency Contact Name*

    Emergency Contact Phone*

    Relationship to Camper*


    Camper Name: First & Last*

    Minecraft experience: Child must have a basic knowledge of Minecraft.

    Camper Age (Must be between age 9-14 on June 1st)*

    Camper Birth Date (m/d/year) *

    T-Shirt Size


    Allergies*

    Medicines*

    Medical Conditions*

    Authorized Pick-up List*


    Signature*

    Once we receive your registration, the office send you a confirmation letter letting you know if your child is registered or on a wait.