2008 Camp Enrollment
Please print out this enrollment form and send it to Celebrity Kitchens along with your payment. Full payment due at time of registration. Registration is non-refundable. No discounts accepted for kids camp or kids cooking programs.
2008 Camp Session Date(s): ________________________Session No. ___ Day or Evening? ____
Name of Camper: M F___
Parent/Guardian Name: _____________________________________
Home Phone ___________________________ Cell Phone ___________________
Street Address: City: State: Zip:__________
Day phone: Evening phone: ________Email: _________
Cell Phone: ____________________
In case of Emergency contact: Telephone: __________________
Alternate Emergency contact: _________________________Telephone:__________________
Child’s Information:
Age: D.O.B.: ______________ Height: School: Grade:_________
TOTAL INCLUDED $ (Check Payable to “Celebrity Kitchens” or Credit Card Information. )
Credit Card No._____________________ 3 digit code:____ Expiration Date.__________
Address for Credit Card Bill if different than above address. ___________________________________
I hereby declare my son/daughter to be in good health and able to participate in the camp activities. I will not hold Celebrity Kitchens responsible in case of injury as a result of participation. I will bear responsibility for the full payment of fees.
Food Allergies: ____________________________________________________________
Parent/Guardian Name:______________________________________________________
Signature: Date: _________________