MAQ Summer Camp Waitlist Form

MAQ Summer Camp Waitlist Form
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
Childs Name*

First NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date
Age*
Release and Waiver Agreement
Signature of Parent/Guardian*

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Date Signed*

MonthDayYear
Date
Should be Empty:

Parent/Guardian Information