Summer Youth Program Participant Information Form
Welcome to Delaware Valley University's Youth Programs

IMPORTANT:
** Be sure to register for camp/program BEFORE completing this information form
** This form must be completed by a parent or legal guardian of a minor child (“participant”), or can be completed by themselves if “participant” is 18 years of age or older.
** Form must be completed within one sitting
** Have on hand any health, allergy, and emergency contact information, etc. that is pertinent to the participant
** One form per participant
** Participants may not attend any youth programs without completed form(s)



Questions? Contact Barrie Saias, Youth Programs Coordinator, barrie.saias@delval.edu, 215.489.4848
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