Skip to content
Summer Camp Intake Questionnaire 2
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?
(Required.)
July 7 - Aug 1
Aug 4 - Aug 29
Both
*
7.
Which daily schedule are you interested in?
(Required.)
Full day
Half day mornings
Half day afternoons