2025 Summer Camp Registration Form Question Title * 1. Student's Full Name Question Title * 2. Student's DOB DATE Date Question Title * 3. Student's Gender Male Female Other (please specify) Question Title * 4. Student's Preschool or Elementry School Question Title * 5. Parent/Guardian's Full Name Question Title * 6. Parent/Guardian's Email Address Question Title * 7. Parent/Guardian's Phone Number Question Title * 8. Home Address Question Title * 9. Estimated weeks of attendance (you may modify this at any time before 5/1/2025) Week 1 6/2 Week 2 6/9 Week 5 6/30 Week 9 7/28 Week 10 8/4 Question Title * 10. Are there any medical conditions or allergies we should be aware of? Yes No Question Title * 11. If yes, please provide details about medical conditions or allergies Question Title * 12. Emergency Contact Name Question Title * 13. Emergency Contact Phone Number Question Title * 14. How did you hear about our summer camp? Social Media Friends/Family School Online Search Other Done
