JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer Camp Registration Form 2024
Summer Camp 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of the Child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Mother's Name
*
Your answer
Father's Name
*
Your answer
Mother's/ Father's Email Address
*
Your answer
Mother's Phone Number
*
Your answer
Father's Phone Number
*
Your answer
Week and Program
*
Week 1- Space Expedition
Week 2- Greenskeeper
Week 3- Little Chef's
Week 4- Artful Rhythms
Week 5 - Stars & Stripes
Week 6- STEAM
Week7 - Spirits are High
Week 8- Animal Park Discoveries
Week 9- Splash 'o' Mania
Week 10- Around the world
Required
Days
*
5 days a week
4 days a week
3 days a week
Timing
*
Choose
8:30AM to 5PM
8:30AM to 2:30PM
8:30AM to 12:30PM
Do you need any additional care before 8:30AM or after 5PM
Your answer
List any Allergies
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Nurture Kids.
Report Abuse
Forms
