Student Participant Registration

Please select your payment type: You are sponsored or You need to make a payment.

* Payment Type:

Student Registration Information

* First Name:

* Last Name:

* Preferred Name:

* Address:

Address 2:

* City:

* State:

* Zip:

* Phone:

Cell Phone:

* Name of School:

* Year in School:

* Date of Birth:

* Gender:

* Preferred Pronoun:

* Email:

* How did you hear about Key Leader?

* Are you a member of:

Do you have any special needs (dietary or physical, etc) that we need to let the camp know about?

* Emergency Contact Name:

* Emergency Contact Phone:

* Relationship to Emergency Contact:

Billing Information Same As Above

* First Name:
* Last Name:
* Address:
Address 2:
* City:
* State:
* Zip:

Payment Information

* Name on Card:

* Card Type:

* Card Number:

* Card Expiration:

* Security Code:

Payment Totals

Sub Total:	$250.00
Sponsored:	$0.00
Registration Fee:	$0.00
Transaction Fee:	$0.00
Grand Total:	$250.00

Cancellation Policy

All CANCELLATIONS must be received in WRITING. You may email to keyleadercedarglen@gmail.com or mail to

Kiwanis Key Leader (Camp Cedar Glen)
Attn: Valerie Crawford and/or Geoff Tobias
KYDS Club of San Diego
645 Front Street, Unit 1103
San Diego, CA 92101
Phone cancellations will not be accepted.

$25 of all registrations are non-refundable. Balance may be refunded from written requests received by 5 pm on Tuesday, October 4, 2022.

No refunds will be granted after October 4, 2022.

I acknowledge the cancellation policy for this event.

I acknowledge the Key Leader program has been designed as a complete educational experience from 4 pm on Friday afternoon through 11:30 am on Sunday morning. All participants are expected to attend the full experience and these values will be in effect during this whole time.

I acknowledge the Registration needs to be paid in full by October 1, 2022.

I acknowledge the following forms will be sent to me via email and they will be reviewed/completed by the start of registration at 4pm Friday.
-CalPac Camps Welcome Waiver
-Key Leader Medical Authorization
-Key Leader Community Values

I acknowledge I am responsible for arranging my own transportation to and from camp.

I acknowledge a copy of my registration and/or invoice may be shared with the following: parent(s)/guardian(s), sponsor(s) and/or Kiwanis.