Resort Summer Camp Registration

General Child Information

Please answer the following questions in full.

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* 1. Which Week(s) Are You Signing Up For?

Week 7 Jul 25-29 Art Antics

Week 8 Aug 1-5 Sports Week

Week 9 Aug 8-12 Wet N Wild

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* 2. Child's First Name and Last Name

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* 3. Nickname of Child

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* 4. Date of Birth

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* 5. Name of Medical Doctor

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* 6. Doctor's Phone Number

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* 7. Does your child have any allergies we should be aware of?

Yes

If Yes, Please Specify Allergies Here

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* 8. Does your child have any developmental or physical challenges we need to be aware of ?

Yes

If Yes, Please specify

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* 9. Is your child taking any medication that needs to be administered during camp ?

Yes

If Yes Please specify amount and time of day to be given?

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* 10. Does your child have skin sensitivity?

Yes

If Yes please specify

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* 11. Does your child have any food Allergies ?

Yes

If Yes please specify

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* 12. Your child will be participating in various sports activities are there any restrictions we need to be aware of ?

Yes

If Yes Please Specify

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* 13. How would you categorize your child's swimming ability?

Non—swimmer

intermediate

advanced

Other (please specify)

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* 14. What size shirt does your child take?

Youth XS

Youth SM

Youth MED

Youth LG

Youth XL