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Emergency Contact Summer Camp
Please fill out this form for an emergency contact list and approved pick up list.
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* Indicates required question
Parent Last name
*
Your answer
Parent First name
*
Your answer
emergency contact number
*
Your answer
1st Child's name
*
Your answer
1st Child's age
*
Your answer
1st Child's T-shirt size
*
CS
CM
CL
CXL
AS
AM
AL
2nd Child's name
Your answer
2nd Child's age
Your answer
2nd Child's T-shirt size
AL
CXL
CM
AS
CS
AM
CL
Clear selection
3rd Child's name
Your answer
3rd Child's age
Your answer
3rd Child's T-shirt size
AL
CXL
CS
CM
AS
CL
AM
Clear selection
Dates registered
*
June 3 - 7
June 17 - 21
July 1 - 5
July 15 - 19
July 29 - Aug 2
Required
Approved names for pick up
*
Your answer
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