Summer Camp with Miss Rieck & Miss Whitaker
When: June 3rd - 7th
Where: Casis - Miss Rieck's Classroom
Sign in to Google to save your progress. Learn more
Child's First & Last Name *
Parent(s) Name: *
Parent(s) Phone Number:
*
Parent E-mail
*
Emergency Contact Name & Phone Number
*
Allergies That Your Child Has and any health conditions/concerns
*
Please select the camps that you would like to register your child for. 

Students who attend both camps are welcome to stay from 12-12:30 with a packed lunch from home.

Please note that your child's spot is not guaranteed until payment is made. Fees cover the cost of all materials/supplies, use of the building, etc. The registration fee can be sent via a check made out to Andrea Rieck or via venmo @Andrea-Rieck. 
*
Required
In the space below, please include any other information you'd like to share. 
*
Looking forward to seeing you then! 
We are looking forward to having your child join in for Summer Camp! 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy