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Sports & More Camp Registration 2024
Please use this form to sign up for our Sports & More Camp, June 24-28, 2024, located at Bridges Community Church at 625 Magdalena Avenue in Los Altos.
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* Indicates required question
Camper's Full Name
*
Your answer
Camper's Date of Birth
*
MM
/
DD
/
YYYY
Camper's Age (during camp)
*
Your answer
Camper's Gender
Male
Female
Clear selection
Camper's Grade (upcoming in Fall 2024)
*
First Grade (1st)
Second Grade (2nd)
Third Grade (3rd)
Fourth Grade (4th)
Fifth Grade (5th)
Sixth Grade (6th)
Activity Choice.
*
Basketball
Table Tennis (Ping Pong)
Science (will have a few art/craft projects as well)
Maker (wood crafts and several art projects)
T-Shirt Size
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Parent 1: Full Name
*
Your answer
Parent 1: Email Address
*
Your answer
Parent 1: Phone Number
*
Your answer
Would you be willing to help during the camp?
Yes
No
Maybe
Clear selection
Parent 2: Full Name
Your answer
Parent 2: Email Address
Your answer
Parent 2: Phone Number
Your answer
Emergency Contact (other than Parent 1 or 2): Full Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Emergency Contact's Relationship to Camper
*
Your answer
Name of Healthcare Provider
*
Your answer
Physician's Name
*
Your answer
Physician's Phone Number
*
Your answer
Student Health Notes (Check all that apply)
Food Allergies
Drug Allergies
Hay Fever/Seasonal Allergies
Asthma
Other
Special Notes Regarding Health History
Your answer
Name and Dosage of any medication(s) taken on a regular basis:
Your answer
Dietary Restrictions
Dairy-free
Nut-free
Gluten-free
None
Anything else we should know?
Your answer
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