Winter Break Day Camp Registration

Winter Break Day Camp Registration

Location & additional details will be shared after registration closes.
Monday, December 22nd, 2025 (9:00am-4:00pm)

Please note that registration is only open for current K-8th grade SUSD students and space is limited.
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
SUSD Student ID #*
School of Attendance*
Grade*
Gender
List any allergies and/or medications taken. If none, type "NA":*
List any food or dietary restrictions. If none, type "NA":*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian*
Emergency Contact*
Other(s) Authorized for Pick Up*
I authorize El Concilio California staff to obtain first available emergency care for my child in the event of an injury or illness.*

I agree/consent to the above term(s)
Today's Date*

MonthDayYear
Date
Signature*

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