JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Minnie Ruffin Summer Camp 2022
June 6- 30, 2022
Monday - Thursday
7:30 AM - 12:30 PM
Breakfast/Lunch served
Buses will be provided
ONLY for current Minnie Ruffin 3rd-5th Students!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Grade Level
*
3
4
5
Required
Student's Current Address (Include House Number and Street)
*
Your answer
Student's Method of Transportation to Camp in AM
*
Bus
Car
Student's Method of Transportation to Camp in PM
*
Bus
Car
Medical or Custodial Issues (If applicable, include allergies, names, etc.)
Your answer
Parent/Guardian Name (First Name, Last Name)
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian email address
*
Your answer
Emergency Contact (Someone other than Parent/Guardian)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Monroe City School Board.
Report Abuse
Forms
