Please enroll my child (one registration slip per child) in these sessions for the weeks of: 

Each camp week session is $250 per child. 

I understand there is no refund if I cancel a session or my child misses any days.

Child's name__________________________________________ Grade entering___________

Address____________________________________________________________________

Parent's Name(s)_____________________________________________________________

Phone #(s)__________________________________________________________________

Signed______________________________________________ Date___________________

Make check payable for full amount to: Kid at Heart, Inc.

Print out and mail completed registration/fees to:  P.O. Box 5, Avila Beach, CA 93424

If there's space available, confirmation will be sent to you within 10 days.