Summer Camp Application
Student Information
Student Name
*
First Name
Last Name
Grade Level
*
Age
*
Name of TLS School Site (ex. Canal, Johnstown, Central, etc...)
*
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Questionnaire
Are you able to provide transportation?
*
Please Select
Yes
No
Does your child have any allergies?
*
Please Select
Yes
No
If yes, please provide more information.
Is your child available to attend all 4 weeks of the program?
*
Please Select
Yes
No
If you selected no, please choose the weeks that your child can attend.
June 17th-21st
June 24th-28th
July 8th-12th
July 15th-19th
What kind of accommodations will your child require while under our supervision? (Ex. access to fidgets, frequent breaks, headphones/noise sensitivity, etc...)
*
What kind of activities are your child interested in or would be willing to do while at camp? (select all that apply)
*
Working in the hoop house/gardening (greenhouse)
Animal care (alpacas, cats rabbit)
Hands-on, craft-like activities
Bee education/activities
Indoor activities working on job readiness skills
Tell us more about your child! Include any information that you feel is important for our team to consider.
*
Submit
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