Summer Camp Application.jpg

Summer Camp application form

Applying For: *
Check the box beside the summer day camps you want your children to attend.
Student's Legal Name *
Student's Legal Name
Date of Birth *
Date of Birth
Home Address *
Home Address
Family Information
Parent/Guardian 1 Name *
Parent/Guardian 1 Name
Home Address
Home Address
Fill this out only if it is different than the home address listed above.
Best Contact Phone Number *
Best Contact Phone Number
Other Phone Number
Other Phone Number
Emergency Contact Priority *
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Best Contact Phone Number
Best Contact Phone Number
Other Phone Number
Other Phone Number
Parent / Guardian 2 Home Address
Parent / Guardian 2 Home Address
Fill this out only if different than home address listed above.
Emergency Contact Priority
Emergency Contact Info
Emergency Contact Name *
Emergency Contact Name
Best Contact Number *
Best Contact Number
Other Phone
Other Phone
Additional Information
Child Carries Epi Pen for Allergies *
By clicking submit you verify that the information in this form is complete and accurate. Further directions about payment and additional forms will be emailed to parent/guardian 1 upon review and acceptance of the application,
Person Submitting Form *
Person Submitting Form
How did you hear about us? *