Kiki’s Kids Camp is a day camp for children with diabetes between the ages of 6-12. Each camper can bring a sibling or friend.
Kiki’s Camp for 2010 will be June 20-23 and will be held at Darlington School. Complete the form below to register.
Camper's Information
Camper's Full Name
Age
Parent/Guardian Name
Mailing Address
City State Zip
Email
Day Telephone Number
Cell Phone Number
Can the camper swim? Select an Answer Yes No
Camper T-shirt Size Select a Size Child Medium Child Large Adult Medium Adult Large
Camper's Guest Information
Each camper is encouraged to bring one guest. Please provide the following information if your camper will have accompanied by friend.
Camper's guest full name
Relation to camper Select an Answer Sibling Friend Other
Can the camper guest swim? Select an Answer Yes No
Camper guest T-shirt size Select a Size Youth Medium Youth Large Adult Medium Adult Large
« About Floyd « Mission and Vision « Leadership « Facts « Awards « History « Foundation « Outstanding Stories
