KIDSbury Camp - New Participant Registration

Brand New Participants: If this is your child’s first time participating in summer camp:

Step 1: Fill out Form & Create an Account.

Create an Account: Go to - https://kingsburymed.clubautomation.com
Click on the "Access My Account" button under “First Time Here?”
Click “Create An Account”
Once you have successfully created an account for you (Parent/Guardian) inform the Camp Director by emailing This email address is being protected from spambots. You need JavaScript enabled to view it.
The Camp Director will then create your child a profile, link them to your account and add permissions to their profile to allow you to register them for KIDSbury Camp

Participant Name(*)

Please let us know your name.

Participant DOB(*)

Invalid Input

Parent/Guardian's First & Last Name(*)

Please let us know your name.

Cell Phone(*)

Invalid Input

Email(*)

Invalid Input

Street Address(*)

Invalid Input

City(*)

Invalid Input

State(*)

Invalid Input

Zip Code(*)

Invalid Input

Emergency Contact Name (if parent cannot be reached)(*)

Invalid Input

Emergency Phone(*)

Invalid Input

Are you a Kingsbury Club Member?(*)

YesNo

Invalid Input

Other Comments (special needs, health concerns, etc.)

Invalid Input

Terms(*)

Invalid Input

I agree to all terms and conditions(*)

Yes

Invalid Input