A Service of Covenant HomeCare Hospice

Katerpillar Kids Camp - Online Registration Camper's Name:   Sex:   Male  Female Age:   Address:   City:   State:   Zip:   Parent/Guardian Name:   Phone:   (Home)  (Work)  (Cell)  Email:   What grade will the camper be in during the upcoming academic year?   Has the camper attended Variety's Katerpillar Kids Camp before?   Yes  No T-Shirt Size: Youth Small   Youth Medium Youth Large   Adult Small Adult Medium   Adult Large Adult X Large   Adult XX Large Adult XXX Large Campers should wear/bring comfortable clothes and walking shoes. All meals and snacks will be provided. There are no charges for the camp. After this form is received, an application and additional information will be mailed to you. Please complete this form by Friday, August 22, 2008.