Camp Funshine Registration Form

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Child is Currently Enrolled in CDC's School-Age Program

Child's Name

First Name *

Last Name *

Age (Required)

Grade (Required)

Current Center (If Applicable)

Primary Adult's Name

First Name *

Last Name *

Home Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Your Email Address (Required)

Primary Phone Number (Required)

Field Trips I Want My Child To Attend

*Due to the COVID-19 Pandemic, field trips are subject to change. Please select all field trips you want your child to attend.If you choose for your child to NOT attend a field trip, you must find alternative care outside of CDC for that day.

Waldameer Park - includes a $10 Wally Card ($32.00)
Carnegie Science Center ($15.00)
The Titusville Splash Pad ($4.00)
Local Bowling ($5.00)
Two Mile Run County Park ($12 for 4 trips)
Oil Creek ($3.00)
Swim Days ($50.00 for 10 trips)

How did you hear about Camp Funshine? (Required)

How did you hear about Camp Funshine?

If referred, please list the name of the person that referred you.

Camp Funshine Online Registration

Camp Funshine Registration Form