Summer Together 2020 Registration Form

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This form is for families to register for Summer Together 2020/ Este formulario es para que las familias se registren al campamento de verano del programa de Summer Together.

Please refer to detailed information on camp timings here / Para mas informacion sobre los campamentos - https://www.longislandtogether.org/camps-information

Name of parent or primary guardian / Nombre del padre o tutor primario *

Address / Dirección

Cell Phone Number / Número de teléfono

Email Address / Correo electrónico

How can we reach you? / ¿Cómo podemos contactarle?

Text Message

Phone

Other:

Preferred Language / Idioma preferido

Name of other parent or alternative guardian / Nombre de la madre o tutor secundario (Opcional)

Alternative Phone number / Número de teléfono alterno

Name of Summer Together Advisor / Nombre del asesor/a de Summer Together

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