ICOACH SUMMER CAMP 2025
BE WHO YOU ARE SUMMER CAMP 2025
ICOACH OFFERS SUMMER DAY CAMP FOR 2 MONTHS FROM JUNE TO AUGUST. OUR GOAL FOR THE SUMMER IS TO KEEP KIDS ACADEMICALLY ACTIVE WHILE HAVING FUN AS WELL. OUR SUMMER CAMP INCLUDES FEE OF $200 PER KID.
Child information (amazina yumwana)
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First Name
Last Name
Date of Birth (Iminsi yamavuko yumwana)
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Month
-
Day
Year
Date
School name
Child's Home address (address yo murugo)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Numero zatelefone)
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Please enter a valid phone number.
Does your child have any allergies (Haribyo umwana atemerewe kurya cyangese ibintu bimurwa nabi?)
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Is your child on any medication that we need to know about? If yes please tell us everything we need to know. (PRESCRIPTION, DOSAGE, TIME and ROUTE of the medication). (Hariho imiti umwana ari kumwa? yitwandikire amasaha ayifatiraho nukuntu ayifata.)
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Do you give ICOACH permission to videotape and photograph kids while in the care of ICOACH YOUTH CENTER for the purpose of the program this includes classroom activity, field trips, and other places and activities held or lead by ICOACH YOUTH CENTER.
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YES OR NO
Here at ICOACH YOUTH CENTER we often watch movies and videos for education purpose and entertainment purposes campers participate in this activity based on their grade level and their movies and videos rating in accordance with DHS. Do you give ICOACH YOUTH CENTER permission to include your child in this activity?
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YES or NO
Please Upload your Child's medical card, Birth certificate, green card, I94
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PLEASE UPLOAD the following. (Medical card, Immunization records, birth certificate, Dental screening, Vision screening, Certificate of citizenship, Green card or I94)
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Mom
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Dad
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Guardian
First Name
Last Name
Phone Number
Please enter a valid phone number.
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