Kids Camp Personality Development Training and Fashion Show Registration

Participant Details

Child’s Name

First Name

Last Name

Are you female or male?

Female

Male

Child’s Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Child’s Age

Please list any special skills they may have.

Parent/Guardian’s Details

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Work Phone

(###)

###

####

Cell Phone

(###)

###

####

Measurements

Clothing Size

Waist Size

Please specify in centimetres (cm).

Shoe Size

Please specify in US children’s size.

Additional Information

Please let us know of any other important information, such as, allergies, health concerns etc.

Parent/Guardian e-Signature

Please enter your first and last name.

First Name

Last Name

Please re-enter your first and last name.