C2C Confidential Camp Questionnaire

C2C Confidential Camp Questionnaire

We are so excited to have your child join us this summer at Connect-2-Camp! This questionnaire is designed to give your child's counselors and leadership staff a head start in getting to know your child before he/she arrives at camp. Please complete this form and feel free to include any other relevant information that you would like us to know. All information in this form is strictly confidential, and will be shared with relevant Quinipet staff only as necessary.
What is your Camper's Name?*

First NameLast Name
What size T-Shirt is your camper?*

SmallMediumLargeXL
Please select all the words that describe your child:

AttentiveEnergeticShyConfidentDaydreamerCooperativeGentleFriendlyTimidDependantEnthusiasticCaringReserved
How well does your child make friends?*

1

2

3

4

5

1 is Very Easily, 5 is With difficulty
What does your child like to do for fun?*
Are there any activities you would like to be encouraged at camp? If so, Please list below:
How will we know if your child is getting overwhelmed?
Does your child have any specific fears?*
Please list all family members living with your camper (Please include ages of siblings):
List any pets in the household:
Are there any family/home situations that we should know about?*
Thank you, we are so excited to see your camper this summer!
Should be Empty: