QCPA Summer Camp Registration 2022 Question Title * 1. Camper Name Question Title * 2. Desired Camp Option Camp Annie (June 20th-July 8th) Camp Wicked (July 18th-August 5th) Camp Lion King (August 15th-August 26th) Question Title * 3. Date of Birth DOB Date Question Title * 4. Parent Name Question Title * 5. Primary Contact Number Question Title * 6. Email Address Question Title * 7. Emergency Contact- Name, Relationship, and Phone Number Question Title * 8. Allergies or Medical Conditions (If medication is needed, please provide medication information) Question Title * 9. T-Shirt Size Child XS Child S Child M Child L Child XL Adult S Adult M Adult L Done