Summer Camp Sign Up
Please use a separate form for each child.
Sign in to Google to save your progress. Learn more
Child's Last Name *
Child's First Name *
Date of Birth *
MM
/
DD
/
YYYY
Allergies or Medical Conditions (if none, write none) *
Names of Authorized Pick-Ups *
Parent's Name (Last, First) *
Parent Phone Number *
Parent's Email Address *
Check all that apply. A full list of camp descriptions and prices can be found at this address:
By signing up your child, you give ICS approval to charge your FACTS account.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Immaculata Catholic School. Report Abuse
Google Forms