Participation, Permissions and Waivers
This form is REQUIRED to participate in camps produced and owned by She-EO, LLC  (except Girl Scout programs). Please complete ONE new form every program season (or when your child's information changes). This form should be completed by the child's legal guardian and submitted to the camp office before the first day of camp.
 
This form does not take the place of any forms required by our community partner or site host. This information is for internal use only and will not be sold or shared with third parties without the user's permission. 

Email contact@sheeoacademy.com or call 866-697-4336 if you have any questions.
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How (or where) did you register for this camp? *
What is the START DATE of your camp or class? *
You can find the date on your registration receipt or confirmation.
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Participant's First and Last Name: *
(Your child's name. Please do not submit more than one child per form.)
Enrolling parent's First and Last Name: *
Enrolling parent's Mobile Phone Number: *
Enrolling parent's Home Phone Number: *
Enrolling parent's City, State and Zip Code *
What is the enrolling parent's occupation?  *
(no org names needed)
Other profession not listed above
What is the enrolling parent's age range?  *
Emergency Contact Person's First and Last Name *
(different from the enrolling parent)
Emergency Contact Person's Phone Number: *
(different from the enrolling parent)
Person(s) NOT authorized to pick up your child: *
Type NA if not applicable.
Does the participant have ANY allergies (food, environment, etc)? Please list below.

Type NONE if no allergies exist. NOTE: The participants may touch glycerin if making soap or wax if making a candle.
 *
Does the participant have any special needs or abilities? (hearing aid, dyslexia, gifted, ADHD, etc.) Please list below.
(optional)
Where will the participant attend school in the fall (in Virginia)? *
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