PLEASE NOTE: IF YOU ALREADY REGISTERED FOR THIS IN JUNE, PLEASE JUMP DOWN TO THE RSVP & PARTICIPATION POLICY LINK BELOW NEXT TO THE REGISTRATION OPTIONS.

Registration Options

Holidays With Camp Cosmos - Virtual Sat. Dec 14th AM PST (ZOOM)
Join us Online for a fun interactive experience! Zoom link will be sent prior to event.
Holidays With Camp Cosmos - In Person Sun. Dec 15th PM PST (Toby Wells YMCA, San Diego)
Celebrate the holidays with a winter wonderland, SoCal style!
Capacity 100

Camper Name

Date of Birth

Child's Age

Will a sibling (or more) join? If so, please provide first name and age of all participants

Parent/Guardian Name

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Emergency Contact

Emergency Contact Number

Please answer the following questions. The more information we have the better we can serve the community.

Any accessibility requirements?

Have you been with us before? If not how did you hear about us?

*Please describe medical diagnosis.

Please describe any allergies related to your child:

Please indicate if your child requires any accommodations or activity modifications to participate in fine motor, gross motor, or mobility tasks:

Does your child have any difficulties processing sensory information? i.e. loud noises, bright lights, certain smells or textures. If so, please describe:

Is there anything else we can learn about your child that can help us provide a positive experience for your family?

Is there one activity your child would really love to do/try?

Is there a topic that you would like addressed?

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2024 Holidays with Camp Cosmos

CAMPER REGISTRATION

PARENT / GUARDIAN INFORMATION

Please answer the following questions. The more information we have the better we can serve the community.