List of Names of all persons allowed to pick your child up from Kindergarten Camp (up to 4). If your child will be released to the Boys and Girls Club, please make sure they are one of your choices. *
Your answer
List of allergies or medical problems. *
Your answer
In case of an emergency, who is the child's primary contact?
Your answer
Other information you would like us to know about your child
Your answer
A copy of your responses will be emailed to the address you provided.