Go Cart Summer Camps at Kids Making It

Join Us For a Kids Making It (KMI) "Go Cart Summer Camp" Monday July 19th – Friday July 23th Or Monday August 2nd - Friday August 6th All classes will be from 9:00am to Noon Cost: $210.00 This class is appropriate for Kids 8 –12 years (younger kids may be register if accompanied by a parent or responsible adult). Youth will make a Go Cart, paint it and if time allows, they’ll ride the Carts along the Riverwalk on Friday. Please complete the Go Cart Summer Camp Registration form attached and mail with your check or Credit Card information. You can also email the form and telephone in your credit card information to hold your spot. Class size is limited to six and reservations will be confirmed on a first come, first serve basis with paid registration. We will contact you to confirm your acceptance so that we can plan for a fun and successful woodworking experience! Sincerely, Jeffrey Davies ( email = taffy@kidsmakingit.org ) Kids Making It, Inc. 15 South Water Street (Jacobi Warehouse), Wilmington, NC 28401 910-763-6001 Go Cart Summer Camp Registration NAME _____________________________________________________ NICKNAME________________________ EMAIL _______________________________________________ GENDER M______F______ AGE __________ MAILING ADDRESS_________________________________________CITY_______________________________ STATE _______ ZIP_________ TELEPHONE NUMBERS_______________________________________________ July 19-23 or August 2-6 Please circle desired class dates Registration Fee: $210.00. Please find my check enclosed_____ (make check payable to Kids Making It, Inc.) Credit card: Visa / MC / Discover Card#_________________________ Exp.Date_________ EMERGENCY CONTACT NAME :__________________________________________________________ RELATIONSHIP : ________________________ HOME PHONE :_____________________ WORK PHONE :___________________CELL PHONE:_______________________ ADDRESS ______________________________________________________CITY _____________________________________ STATE ________ ZIP ________________EMAIL ADDRESS__________________________________ PLEASE LIST ANY MEDICATIONS, OR EXPLAIN ANY CIRCUMSTANCE THAT COULD AFFECT YOUR CHILD’S ABILITY TO SAFELY PARTICIPATE: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _____________________________________________________________________________________ PERMISSION AND RELEASE: I hereby waive any and all claims and rights of action against Kids Making It, Inc. (KMI), the Program Director, and those assisting in instructing and conducting the Kids Making It Summer Camp against all injuries, losses or damages suffered by my child or myself that arise out of or are in any way connected with the camp. I understand that photos may be taken during the class session and I agree that any photos taken may be used by KMI for public relation purposes. Parent / Legal Guardian Signature: ____________________________________ Date: ____________________