JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form For Vacation Week At Everwood Day Camp February 18th-21st
* Indicates required question
Email
*
Your email
Child(ren's) Name(s)
Your answer
Child(ren's) Age
Your answer
Parent/Guardian 1 Full Name:
Your answer
Parent/Guardian 1: Phone Number, where you may be reached while your child(ren) is at Camp
Your answer
Parent/Guardian 1: Email Address
Your answer
Parent/Guardian 2: Full Name
Your answer
Parent/Guardian 2: Phone number to be reached while child(ren) is at Camp
Your answer
Parent/Guardian 2: Email
Your answer
Address (Street and Town)
Your answer
Anything we should know about your child(likes, dislikes, allergies, fears etc.)
Your answer
Emergency Contact If We Cannot Reach You (Please list 2; Name, Number and Relationship)
Your answer
Which days will your child(ren) attend:(please check-off 2-4 days)The cost for the program is $65 per day 8:30am-4:30pm:
Tuesday
Wednesday
Thursday
Friday
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Everwood Day Camp.
Report Abuse
Forms
