SCI Kids Camp Personality Development Training Registration

Participant Details
Child’s Name *
Child’s Name
Are you female or male? *
Child’s Address *
Child’s Address
Date of Birth *
Date of Birth
Parent/Guardian’s Details
Home Address *
Home Address
Home Phone *
Home Phone
Work Phone
Work Phone
Cell Phone *
Cell Phone
Measurements
Please specify in centimetres (cm).
Please specify in US children’s size.
Additional Information
Parent/Guardian e-Signature
Please enter your first and last name. *
Please enter your first and last name.