Birdie Goes To Camp Waitlist

Birdie Goes To Camp Waitlist
If a summer camp spot becomes available, we will get in touch with you using the contact details you provided in this form. If you're not available, we'll try to contact you again but if we cannot reach you in 24-48 hours, we'll contact the next in the queue.
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Child/Camper Information
Camper Name

First NameLast Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Grade Level
School
Summer Camp Programs (Start at May 2, 2021)

June 9-13June 16-20August 18-22August 25-29
Signature of Parent/Guardian

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

Parent/Guardian Information