Bloom Junior Camp 2026

Friday 7/17 from 8:45 a.m.-6 p.m. | Registration for Bloom Junior Camp 2026
***Register by July 9th to receive a camp t-shirt.***

Child's Information

Child's Name

*

Gender

*

Please select all that apply.

Male Female

Child's Age

*

T-Shirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large Youth XL Adult XS Adult S Adult M Adult L Adult XL Adult 2X Adult 3X

Grade child is entering

*

Please select one option.

Kindergarten First Second Third Fourth Fifth

Address

*

Does your child have any known allergies?

*

Please select all that apply.

Yes No

If your child has allergies, please list them here:

Does your child have any dietary restrictions?

*

Please select one option.

Yes No

If your child has dietary restrictions, please list them here:

Does your child have any medications that need to be administered at camp?

*

Please select one option.

Yes No

If so, please list medications here:

Parent/Emergency Contact Information

Parent Name

*

Parent Cell Phone number

*

Emergency Contact Name (if different than parent)

Emergency Contact Phone Number

Parent's Email

*

This address will receive a confirmation email

Phone number you would like to receive camp text updates at, if different than Emergency Contact Phone Number listed above:

Description

Friday 7/17 from 8:45 a.m.-6 p.m.

Registration for Bloom Junior Camp 2026
***Register by July 9th to receive a camp t-shirt.***

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