JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Joe's Summer Arts Learning 2022
If you are interested in enrolling your child at Joe's for summer 2022, please provide the information below.
Summer programming is tentatively scheduled to begin on June 21. Joe's will be closed July 3rd-7th. The last week of camp will be August 29th -September 2. Doors will open at 8am and pickup time is 3pm.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
1. Name of Parent/Guardian (First and Last)
*
Your answer
2. Contact phone number xxx-xxx-xxxx
*
Your answer
3. My child's last name (one child per form):
*
Your answer
4. My child's first name (reminder: one child per form):
*
Your answer
5. Child's Birthdate xx/xx/xxxx
*
Your answer
6. Child's Age (Current/Must be 5 by first day of camp)
*
Choose
5
6
7
8
9
10
11
12
7. My child's grade (Current)
*
Choose
kindergarten
1st
2nd
3rd
4th
5th
6th
Other
8. My child's school name is
*
Your answer
9. I will need after care from 3pm - 6pm
*
No
Yes
Other:
10. My child uses an inhaler, Epi-pen or other medication (examples: Benadryl, carbamazepine, Dilantin, Claritin, Advil, etc).
*
No
Yes, I will provide the Medication Administration Authorization form signed by a doctor for Joe's Movement Emporium
Other:
11. My child has attended camp at Joe's during a prior year.
*
2021
2020
2019
Prior to 2019
Other:
12. There is a Mandatory Orientation (approximately 1 hour) required prior to enrollment.
*
I want to schedule a meeting
Required
13. I agree to send my child with 2 masks (cloth + surgical) and will discuss proper mask wearing practices.
*
Yes
No
14. I agree to discuss social distancing with my child.
*
Yes
No
15. I understand that payments are final, non-refundable and will not be transferred to other weeks or parties.
*
Yes
No
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
