Easy Eats Camp Application

Question Title

* 1. Which session is your student interested in participating in?

Question Title

* 2. Student's Information

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Email Address

Phone Number *

Question Title

* 3. Student's date of birth

MM / DD / YYYY

Date

Question Title

* 4. Current School Attending

Question Title

* 5. Current Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12 Grade

Other (please specify)

Question Title

* 6. Parent/Guardian Information

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

Question Title

* 7. Contact in Case of Emergency

Name

Phone Number

Question Title

* 8. Alternate Contact in Case of Emergency

Name

Phone Number

Question Title

* 9. Does your student have any allergies?

Question Title

* 10. Does your student have any dietary restrictions?

Question Title

* 11. Students will have the opportunity to share some of their culinary creations at home. Please let us know if that is okay with your family.

Yes, my student may bring food home.

No thank you, we would prefer all the food stays in the kitchen.

Question Title

* 12. We love to celebrate and share our success! Do you consent to photos and/or videos of your child participating in our program to be shared for marketing, publications, and/or social media?

Question Title

* 13. How did you hear about this opportunity?

Facebook

Instagram

KidsPeace

BCAT

Parent Network

Previously attended a session

Other (please specify)

Question Title

* 14. Is there any additional information you would like to share with us?

Question Title

* 15. I understand the expectations of Camp or have reviewed it with my student. Not following these expectations could lead to students being asked to not attend in the future. Expectations include:

Arriving no more that 15 minutes late
Communicating if you will not be attending
Following directions from Camp Instructor(s)
Treating everyone with respect and kindness
*Not using items or equipment that are not a part of camp

I understand the expectations and can't wait to have fun!