Interest Survey
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
How many children will you be enrolling?
1
2
3
What school does your child attend?
Grade
Are you interested in enrolling your child in this camp?
Yes
No
Are you interested in receiving our newsletter?
Yes
No
What do you expect your child to learn from this camp?
What is your motivation on why you want to enroll your child in this summer camp?
We are open for any suggestions or feedback.
Submit
Should be Empty: