The Highway Community - Day Camp Registration Form

Day Camp Registration Form

Adventure Day Camps!
For kids entering 1st Grade - 5th Grade

Date: July 18 – 22, 2011
Hours: 10am - 3pm (bring a sack lunch)
Cost: $20 per day
Please make checks payable to: The Highway Community and mail to 201 Castro Street, 3rd floor, Mountain View, CA 94041 (note: this address is different than the location address).

All adventures will be at the Mountain View campus unless otherwise noted (2050 Miramonte Avenue, Mountain View, CA 94040)

(Please note fields with an * are required.)

Parent Information

First name: *

Last name: *

Street: *

Apt/Unit:

City: *

State/Province: *

Email Address: *

Phone 1: *

Phone 2:

Participant Information

First Name: *

Last name: *

Date of Birth: (example: MM/DD/YYYY)*

Choose one activity for each day

Monday *
Have a Ball
Crafty Kids
Not Participating on Monday

Tuesday *
Adventure Seekers
Performing Arts
Not Participating on Tuesday

Wednesday *
Just for Kicks (Soccer)
Art Studio
Not Participating on Wednesday

Thursday *
Baseball / Softball
Making Trackz (Recording Studio)
Not Participating on Thursday

Friday *
Chef for a day
Not Participating on Friday

If you would like to add another participant please complete & submit this form for each child.

Day Camp Registration Form

Adventure Day Camps!For kids entering 1st Grade - 5th Grade

Parent Information

Participant Information

Choose one activity for each day

Adventure Day Camps!
For kids entering 1st Grade - 5th Grade