Summer Clay Camp 2025

Child Name(s)

First Name

Last Name

Child Age(s)

Parent Name(s)

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will someone other than a parent be picking up the child?

Yes

If yes, please provide name

Anything we need to know about your child?

To be filled out by Camp Team

Deposit Paid

Yes

Balance Due

Thank you for filling out the Summer Clay Camp form.