PCC language club summer camp
15th July - 2nd August
Student Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Lunch choice
Meat (chicken)
Veg
T shirt size
Kids M
Kids L
Kids XL
Adult S
Adult M
Adult L
Is the student allergic to anything or currently using any medication required to be taken during the day. If yes please explain
Parent / Guardian Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Do you consent for your number to be added to a temporary WhatsApp group to be used to communicate information during the camp.
Yes
No
Submit
Should be Empty: