The Highway Community - Day Camp Registration Form

Day Camp Registration Form

Choose Your Own Adventure Day Camps!
For kids entering 1st grade - 5th grade

Date: July 19 – 23, 2010
Hours: 10am - 3pm (bring a sack lunch)
Cost: $15 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).

(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 *
Adventure Seekers
Performing Arts
Not Participating on Monday

Tuesday *
Just for Kicks (i.e. Soccer)
Crafty Kids
Not Participating on Tuesday

Wednesday *
Outdoor Adventures
Art Studio
Not Participating on Wednesday

Thursday *
Day Camp Newspaper (3-5 Grade only)
Chef for a Day
Not Participating on Thursday

Friday *
Hoops (i.e. Basketball)
Making Trackz (Recording Studio)
Not Participating on Friday

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

Day Camp Registration Form

Choose Your Own Adventure Day Camps!For kids entering 1st grade - 5th grade

Parent Information

Participant Information

Choose one activity for each day

Choose Your Own Adventure Day Camps!
For kids entering 1st grade - 5th grade