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Kingsbury Club & Spa Camp Registration

Registration can be done in person, over the phone, by email or online. To register online, please complete and submit the online registration form below. If you are not registering online, please fill out the The Camp at Kingsbury [PDF file] or the Kiddie Camp [PDF file] application form and register at the front desk.

* = required


CAMPER'S NAME:	*
BIRTHDATE:
ADDRESS:
CITY:
STATE:
ZIP:
PARENT/GUARDIAN:
HOME PHONE:	*
WORK PHONE:
EMAIL:	*
MEMBERSHIP TYPE:	All Inclusive Other Member Non-Member
PAYMENT METHOD:	House Charge Check Credit Card
CAMP:	The Camp at Kingsbury Kiddie Camp
KIDDIE CAMP SESSIONS:	Session 1: June 23 - June 27 Session 2: June 30 - July 3* Session 3: July 7 - July 11 Session 4: July 14 - July 18 Session 5: July 21 - July 25 Session 6: July 28 - August 1 Session 7: August 4 - August 8 Session 8: August 11 - August 15 Session 9: August 18 - August 22 *pro-rated for July 4th
THE CAMP AT KINGSBURY SESSIONS:	Session 1: June 23 - June 27 Session 2: June 30 - July 3* Session 3: July 7 - July 11 Session 4: July 14 - July 18 Session 5: July 21 - July 25 Session 6: July 28 - August 1 Session 7: August 4 - August 8 Session 8: August 11 - August 15 Session 9: August 18 - August 22 *pro-rated for July 4th
T-SHIRT SIZE:	Youth S Youth M Youth L

Please explain any medical conditions or restrictions we should be aware of:

Please note: Parent/Guardian will be required to sign the folIowing:
I accept fully that the Kingsbury Club, its shareholders, directors, officers, employees, representatives and agents cannot be held responsible for any and all loss, claim, injury, damage, or liability sustained or incurred by my child during their participation on premises or off.
In the event I cannot be reached in an emergency, I hereby give permission for the Kingsbury Club to secure proper treatment for my child.

All campers are required to fill out a medical form provided by The Kingsbury Club.