Summer 2026 Camp Application

Home | Summer 2026 Camp Application

Complete MKCCC’s Summer 2026 Application for Summer Camp below.

Application for Summer Camp

Today's Date(Required)

Name of Child(Required)

First Last

Child's Grade (Fall 2026)(Required)

School Attending(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Child's Date of Birth:(Required)

Child's Gender(Required)

Boy

Girl

How did you hear about MKCCC's Summer Camp?

Has your child atteneded any other child care programs?(Required)

Yes

If yes, please specify:(Required)

Name and ages of your other children:(Required)

Parent / Guardian Information

Parent/Guardian (1)(Required)

First Last

Age(Required)

Marital Status(Required)

Address (if different from child)(Required)

Street Address Address Line 2 City State ZIP Code

Employment(Required)

Hours of Employment(Required)

Name and address of employer(Required)

Email(Required)

Work Phone(Required)

Cell Phone(Required)

Parent/Guardian (2)

First Last

Age

Marital Status

Address (if different from child)

Street Address Address Line 2 City State ZIP Code

Employment

Hours of Employment

Name and address of employer

Work Phone

Cell Phone

Additional Information

Does your child have any special medical problems?(Required)

Allergies(Required)

Nosebleeds(Required)

Speech Problems(Required)

Unusual Sleep Habits(Required)

Special Diet(Required)

Other special needs(Required)

Are you applying for financial assistance? (if available at the time of application)(Required)

Yes

Gross Family Income (optional)

Please give a brief description of your child, including anything a caregiver should be aware of.(Required)

Parent/Guardian Signature(Required)

Parent/Guardian Signature

CAPTCHA