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Kid Central - Returning Child Registration (your child must have been enrolled in Kid Central within the 24/25 school year to use this form) IF NOT REGISTERED FOR 24/25 SCHOOL YEAR, USE THE NEW CHILD FORM.
Summer Camp Registration for 2025 is now FULL.
Returning Childfull name
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Rising Grade
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School
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Payments are due 2 weeks in advance. Do NOT make any payments until you have a confirmed spot in camp. Vendor copays are due by the 15th of each month.
My Child Will Attend These WeeksChoose Dates


Has my permission to attend/travel to the following field trips during Kid Central's Summer Day Camp,
May 28-July 25, 2025. Field Trips are subject to change.

  • -REC CLUB POOL, CULPEPER (all) 
  • -SPLASH PAD, CULPEPER (all)
  • -PATH CENTER, CULPEPER (all)
  • -BOUNCE N' CREATE (Grades K-2)
  • -FUNLAND (Grades 3-8)
  • -SPLASHDOWN WATERPARK, MANASSAS(Grades 3-8) 
  • -CHUCK-E-CHEESE  (Grades K-2) 
  • -URBAN AIR, FREDERICKSBURG (Grades 3-8) 
  • -OLD COUNTRY STORE - ICECREAM (all)
  • -MESSICK'S FARM (Grades K-2)
  • -YODER'S PETTING ZOO (PreK)
  • -SKYZONE MANASSAS (Grades 3-8)
  • -MT. RUN LAKE PLAYGROUND (PreK)
  • -MOVIES CHARLOTTESVILLE (all)
  • -BULL RUN PARK (all)
  • -MASSANUTTEN WATER PARK (all)
Field Trip PermissionAlternate care is not provided
Swimming & Sunblock Permission Form

My child has my permission to go swimming at THE CULPEPER REC CLUB in CULPEPER, VA with KID CENTRAL Summer Camp Staff.



Sunblock Permission 



I give Kid Central permission to apply sunscreen to my child(ren) ages 5-8 years of age or to remind my child(ren) ages 9-12 years to apply it to themselves.



Swimming Permissioncheck one
My Child is acheck one
Sunscreen Permission

Please List ANY Changes Since Last Registered for 24/25 School Year. This includes updated phone numbers, addresses, pick up people, medical information, custody papers, etc. If not applicable, write N/A.If no changes, we will use the information from the most recent registration.
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All other information provided on the 24/25 school year registration is accurate. If anything is different, please add it to the box above.
Parent SignatureFull Name
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Parent Phone Number
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Date
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