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Summer Camp Registration 2020
Registration form for Summer Camp 2020
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* Indicates required question
Email
*
Your email
Child's Information
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Current Age
*
Your answer
Gender
*
Your answer
Currently Enrolled in CYC
*
Yes
No
Child Attended Camp Last Year (Summer 2019)
*
Yes
No
Child's Classroom/Grade Level for Fall 2020
*
Preschool
Kindergarten
1st Grade
2nd Grade
Other:
Does your child have any allergies?
*
Yes
No
If yes, please elaborate:
Your answer
Parent/Guardian Information
Parent/Guardian #1
Parent/Guardian Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Work Phone
*
Your answer
Cell Phone
*
Your answer
Parent/Guardian Information
Parent/Guardian #2
Parent/Guardian Name
Your answer
Parent/Guardian email
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Work Phone
Your answer
Cell Phone
Your answer
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