Skip to content
Summer Camp Intake Questionnaire 2026
Demographics
*
1.
Child's name (First and Last)
(Required.)
*
2.
Date of birth (mm/dd/yyyy)
(Required.)
*
3.
Parent/Caregiver name (first and last)
(Required.)
*
4.
Contact number
(Required.)
*
5.
Email address
(Required.)
*
6.
Which camp block are you interested in? Please select all that apply.
(Required.)
July 6 - July 31 (4 weeks)
Aug 3 - Aug 28 (4 weeks)
June 29 - July 31 (5 weeks)
Aug 3 - Sept 4 (5 weeks)
Aug 31 - Sept 4 (1 week)
*
7.
Which daily schedule are you interested in?
(Required.)
Full day
Half day mornings
Half day afternoons