1 openings left in this event!
Zen Kid's Camp ~ July 22-26 ~ 9am-4pm ~ Ages 6+

Please fill out this registration form for your child/children.

Your payment information is required upon registration. Once we receive your registration, we will then process the payment. Tuition is $250 per camper.

Please call for any questions you may have regarding camp and/or payments: 720-775-2839

Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Student/Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
Students entered below will be added to your family's account
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the camper prescribed an inhaler or medications to be administered during camp? If yes, please explain any instructions.
Additional Information:
Informed Consent and Acknowledgement
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I've read the above and agree.
Medical Release and Authorization
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I've read the above and agree.
Parental Responsibilities
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I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*