Waldorf Summer Song Camp Registration

1
What is your child’s full name?* This field is required.
2
What grade will your child be in this coming year?* This field is required.
Please Select
Please Select
3rd grade
4th grade
5th grade
6th grade
3
Parent/Guardian Name:* This field is required.
4
Best Email:* This field is required.
example@example.com
5
Phone Number:* This field is required.
Please enter a valid phone number.
6
Camp Session Selection:* This field is required.Which session(s) would you like your child to attend?
Week One (June 8-12)
Week Two (June 15-19)
Both Weeks (1 & 2)
7
Does your child have any allergies, medical needs, or other considerations we need to know about?* This field is required.
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8
Emergency Contact Name and Relationship* This field is required.
9
Emergency Contact Phone:* This field is required.
Please enter a valid phone number.
10
I give permission for my child to participate in all camp activities.* This field is required.
YESNO
11
I give my permission for photos of my child to be used in camp promotional materials.* This field is required.
YESNO
12
How would you like to pay your camp tuition?* This field is required.
Venmo
Check
Cash
13
Payment Instructions:

1️⃣ Venmo: Please send $400 to @AdamPetersenCWS. ⭐️ Include your child’s first and last name in the note.

2️⃣ Check: Please make payable to Adam Petersen. You may mail it to 5100 Gray Rd., Cincinnati Ohio 45232 or coordinate ahead of time to drop it off to Adam Petersen (Camp Director) to secure your child’s spot before the first day.

3️⃣ Cash: Please bring the exact amount to the first day of camp, or coordinate ahead of time with Adam Petersen (Camp Director) to drop it off and secure your child's spot.

Adam Petersen Contact Info:
Phone: 513-444-9461

Email: adampetersen@cincinnatiwaldorfschool.org

Your child's registration is complete and spot is reserved once we receive your payment.
14
Is there anything else we should know about your child or family to help us make their camp experience wonderful?* This field is required.
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Thank you for registering for Waldorf Summer Song Camp!

We’re excited to welcome your child and will contact you soon with confirmation details. If you have any questions before then, please email us at adampetersen@cincinnatiwaldorfschool.org
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