Please fill out this form for each registered camper.

Complete this form for each registered Camper, CIT, and Preschool Camper by June 1
A copy of this form will be emailed to you after you submit.

Questions or concerns?
Let us know at joni@summerquests.com

Need more time?
You can save this form, come back, and complete it later.

Need to make a change?
Please use the Edit Form link found at the bottom of your confirmation email.
Camper Name*

First NameLast Name
Camper DOB*

MonthDayYear
Name/nickname camper prefers if different from above
Your Name*

First NameLast Name
Your Email*
A copy of this form will be sent for your records.
Your Phone Number (M-F, 9am - 4pm)*
Alternative Phone Number
The adult listed here will always be contacted first in the event of an emergency and is by default an Authorized Pick Up.

Camper Emergency Contacts & Authorized Pick Ups
Please list all adults who may be Emergency Contacts and/or Authorized Pick Ups.

In the event of an emergency, the adult listed on the previous page will be contacted first. If that person cannot be reached, we will move on to the below contacts marked as "EContact" in the order listed.

Camper Well Being Information
Friend Request
- Campers may only make one friend request per session
- Camper ages must be within one year of each other to be placed in the same group
- Campers need to request each other on this form
- Requests must be submitted by May 15.
Please list the session and friend request(s) here:
Daily Afternoon Snack
SQDC will provide campers an afternoon snack each day. This includes, but is not limited to: goldfish, pretzels, granola bars, peanut butter crackers, popcorn, cheese its, applesauce, watermelon, apples, and popsicles.*

Yes, my camper can have snack provided by SQDCNo, my camper will bring their own afternoon snack
Is the camper allergic to or afraid of dogs? Occasionally Joni may bring her dog to camp, but only when all campers are ok with it.*

Camper doesn't mind if a dog is nearbyCamper is allergicCamper doesn't really like dogs or is afraid
Has your camper previously attended a camp or day care program that was a full-day?*

YesNo
List a song or two that your camper would like to hear in our playlist:
Kiddo not around? Just drop us an email later!
Is there anything else you would like us to know?

Releases
VALUABLES AGREEMENT: Anything that cannot get lost, dirty or broken should remain at home. This includes toys, cell phones, mp3 players, headphones, video games, smart watches, etc.*

YesOther
FIRST AID RELEASE: I hereby give SQDC my consent to administer basic first aid as per First Aid Training including, but not limited to: ice packs, bandages, wound cleaning, antibacterial ointment, and topical anti-itch.*

YesOther
SUNSCREEN APPLICATION: Campers will be asked to apply sunscreen at least twice per day, with an additional application if they choose to participate in water play. Staff will assist campers with this application, if needed, unless you check below to not allow this. Staff will only assist campers who ask for help or when asked, verbally give permission.*

Yes, SQDC Staff can assist with camper sunscreen application with permissionNo, SQDC Staff cannot apply sunscreen to my childOther
Photo Release: I hereby grant permission to SQDC to use photographs and/or video of my camper - without identifying information - in publications and in other communications related to the mission of SQDC.*

YesOther
SQDC Policies & Procedures
Please sign with your finger or mouse: I have read and agree to abide by SQDC Policies and Procedures, including the releases. I certify that the information on this form is correct to the best of my ability. I will notify SQDC Staff of any changes to the information submitted on this form.*

Clear
Should be Empty:

Complete this form for each registered Camper, CIT, and Preschool Camper by June 1