Additional Information- SFA Camp

1
Thank you for registering your camper(s) for Summer Fine Arts Camp! We are blessed you have chosen to share a part of your summer with us.

Summer Fine Arts is funded by the generousity of an AzOn Track Grant. In accordance with the grant, we are required to collect the following information of all campers and families. Your answers and information are confidential and will not be shared outside of the grantor.

Please complete this form prior to the first day of camp.
2
Parent Name* This field is required.
First Name
Last Name
3
Camp will be providing lunches for campers. Parents can opt out of lunch if their student has allergies, special diets, or any other restrictions. PLEASE READ THE FOLLOWING INFORMATION CAREFULLY and decide if you would like to bring lunch for your camper or have lunch provided.

Nut-Free lunches, snacks, and water bottles are provided, but your camper is welcome to bring in their own nut-free lunches/snacks and water bottles. We make every effort to ensure a nut free campus; however, we cannot guarantee every item purchased is from a nut-free facility. We are unable to accommodate special diets. If your student has a nut allergy or special diet, please send them with their own snacks and lunches. Any students attending with lunches will be collected by counselors when the student arrives on campus. We will refrigerate lunches when necessary.
4
My camper(s) will be participating in the lunch program.If you are bringing lunch for your camper, please check no.
YESNO
5
Camper Details* This field is required.
6
Parents Authorized to Pick Up Campers* This field is required.Include all parents who have permission to pick up your camper.
Parent 1 - Full Name
Parent 1 - Phone Number
Parent 1 - Email Address
Parent 2 - Full Name
Parent 2 - Phone Number
Parent 2 - Email Address
7
Additional Adults Authorized to Pick Up Campers
Adult 1 - Full Name
Adult 1 - Phone Number
Adult1 - Email Address
Adult 2 - Full Name
Adult 2 - Phone Number
Adult 2 - Email Address
8
List any person or persons NOT authorized to pick up your camper.
Huge
Large
Normal
Small
Ok
Ok
9
Have you seen a loss in education or learning since COVID-19?* This field is required.
YESNO
10
If yes, please explain the loss you have seen:
11
Are you concerned about your child's academic growth?* This field is required.
YESNO
12
If yes,please explain your concern:
13
What are you hoping to get out of summer camp?* This field is required.
14
How can our camp best help your student?* This field is required.
15
What other programs would you be interested in?* This field is required.
Part- Time Camp
Show and Production Camp
Tutoring
Private Music Lessons
Teen Leadership Camp
Other
16
If "other", please explain:
17
Will your student(s) need aftercare from 1:30 pm - 3:00 pm? (K & 1st only)* This field is required.
YESNO
18
If you need aftercare for your K or 1st student, please list them below.* This field is required.Click SAVE to add more than 1 student's name
19
What grade did your student complete in 2022?* This field is required.
None
Preschool
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
20
What school did you student attend in April of 2022?* This field is required.
21
What grade will your student enter in September?* This field is required.
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
22
What school will your student enter in September?* This field is required.
23
Please add each child's name along with their gender.* This field is required.
24
Ethnicity* This field is required.
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or more
Other/Unknown
Prefer not to say
25
What is the highest level of education you have completed?* This field is required.
Some Highschool
Ph.D. or higher
Highschool
Trade School
Bachelor's Degree
Prefer not to say
Master's Degree
26
What is your marital status?* This field is required.
Married
Single
Divorced
Widowed
Prefer not to say
27
What is your annual income?* This field is required.
Less than $25,000
$20,000-$50,000
$50,000-$100,000
$100,000-$200,000
More than $200,000
Prefer not to say
28
What is your current employment status?* This field is required.
Employed Full-Time
Employed Part-Time
Seeking Opportunities
Retired
Prefer not to say
29
How many children are in your family?* This field is required.
1
2-4
More than 4
Prefer not to say
30
I have answered all questions accurately to the best of my ability.* This field is required.
Clear
Should be Empty: