Form
Parents Name
First Name
Last Name
Child’s Name
First Name
Last Name
Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact / Permission to pick up
First Name
Last Name
Emergency Contact phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Child’s current age
What school does your child attend
Any known allergies
Method of payment at drop off
Cash
Check (CCS Memo: Mini Cheer Camp
Venmo @ ccsandgp
Bill FACTS account for CCS students only
Submit
Should be Empty: