Summer Camp Registration Form 🌞🏕️

Summer Camp Registration Form 🌞🏕️
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child #1

First NameLast Name
Child's Information

GenderDate of Birth
Child #2

First NameLast Name
Child's Information

GenderDate of Birth
Child #3

First NameLast Name
Child's Information

GenderDate of Birth
Sessions
Does the participant have any allergies or medical conditions?
Photo/Video Consent (Yes/No)
Field Trip Permission (Yes/No)
Additional Notes or Requests
Parents are required to sign their children in and out.
Morning and afternoon snacks are provided but full-time students MUST bring their own lunch.
No medications will be administered to children.
“I understand that my child’s spot is only secured once payment is received.”
For more information or questions, call 404-514-5703