JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Camp Van Go! LLC June 24-28 and/or July 1-5
Registration for 2024 Camp Van Go!
Payment due at registration. Checks for $185.00 per week made payable to Camp Van Go!
Please complete an additional form for each child.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Winter Camp
*
Week 1 June 24- 28, 8am-3pm LMS - $185 Due at registration
Week 2 July 1-5, 8am-3pm LMS, Mural Week - $185 Due at registration
Both Weeks June 24-28 and July 1-5 - $370 Due at registration
Guardians/Parents MUST sign the Waiver of Liability form upon arrival the first day of camp.
Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade as of Sept. 1, 2024
*
Your answer
School
*
Your answer
Parent/Guardian's Name
*
Your answer
Address
*
Your answer
Phone Number Home and Cell
*
Your answer
Email
*
Your answer
Insurance Company
*
Your answer
Insurance #
*
Your answer
PCP and Phone Number
*
Your answer
Allergies
Your answer
Medical Conditions
Your answer
Medications
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
