FUN FRIDAY Child Information Form

Δεν είναι δυνατό το άνοιγμα του αρχείου επειδή δεν είναι ενεργοποιημένη η JavaScript στο πρόγραμμα περιήγησης. Ενεργοποιήστε την και επαναλάβετε τη φόρτωση.

Please fill out this form by 5pm on Thursday prior to FUN FRIDAY in order to help us prepare for our upcoming event. You may fill out this form multiple times for siblings. You do not need to fill out the form more than once, unless you need to change your child's dinner option or emergency contact/pick-up person.

Συνδεθείτε στο Google, για να αποθηκεύσετε την πρόοδό σου. Μάθετε περισσότερα

Διεύθυνση ηλεκτρονικού ταχυδρομείου *

Child's Full Name (and Nickname, if desired) *

Child's Date of Birth *

ΜΜ

ΗΗ

ΕΕΕΕ

Caregiver Full Name(s) and Phone Number(s) *

Address *

Emergency Contact 1 *

Emergency Contact 2

Would you like emPOWER kids to provide dinner for your child for an additional $8? *

Menu: Pizza, fruit, vegetables, goldfish and a treat.

Yes

Stoplight Allergen Policy

Allergies in children are on the rise, and in an effort to balance the safety of participants with our duty as a community to protect each other, we have implemented a Stoplight Allergy Policy.

We may ask families not to bring Red Light allergens to camp at caregiver's request and will notify you prior to camp.

If your child has allergies, please identify below. If you prefer other campers leave Red Light food items at home, caregivers MUST submit the request in writing prior to camp by emailing jenni@empower-kids.com AND listing the food items below.

Do you agree to comply with our Allergen Policy? *

Yes

Please list any Camper Allergies AND Severity Level for each.

Parking Directions

Drop-Off and Pick-Up Policy

Please Drop-Off and Pick-Up Campers using the Main Door, located behind 4700 King Street (follow signs for Office/Covered Parking.)

Drop-Off is at 6pm. Caregivers may not leave their child prior to 6pm.
Pick-Up is at 8pm. Caregivers must call emPOWER kids Studio at least 15 minutes prior if they will be late picking up.

** Repeated late pick-ups will forfeit participation in future emPOWER kids Camp Programs.

Do you agree to comply with our Late Pick-Up Policy? *

Yes

Caregiver ID Policy

We require photo ID verification to pick-up children from camp. You may add a photo to your Wellness Living account for all caregivers OR caregivers must show ID at pick-up.

Please make sure ALL caregivers who need to pick-up are listed on the child's Wellness Living account, or on this form. Remind anyone picking up the child to bring photo ID.

Do you agree to comply with our Caregiver ID Policy? *

Yes

Please list First and Last Name of ALL Individuals Authorized to Pick-Up Camper *

Behavioral Characteristics you'd like Coaches to be aware of prior to camp:

Physical limitations/restrictions you'd like Coaches to be aware of prior to camp:

Special accommodations/modifications that may be necessary for Camper to have a successful day of OST camp?

Please list any individual NOT Authorized to Pick-Up Camper. We will immediately contact Caregivers if this individual attempts to pick the child up from camp.

Ένα αντίγραφο των απαντήσεών σας θα σταλεί μέσω ηλεκτρονικού ταχυδρομείου στη διεύθυνση που παρείχατε.

Υποβολή

Εκκαθάριση φόρμας

Μην υποβάλετε ποτέ κωδικούς πρόσβασης μέσω των Φορμών Google.

reCAPTCHA

Απόρρητο Όροι

Αυτό το περιεχόμενο δεν έχει δημιουργηθεί και δεν έχει εγκριθεί από την Google. Αναφορά κακής χρήσης - Όροι Παροχής Υπηρεσιών - Πολιτική απορρήτου

Φόρμες