MAXIMUM IMPACT REGISTRATION FORM 2024
CAMPERS INFORMATION - scroll down to fill out the remainder of the form and submit.
Sign in to Google to save your progress. Learn more
Email *
Child's First Name *
Child's Last Name *
T- Shirt size *
T-shirts by GPSA - sizes not Guaranteed after May 31st
T-shirts by GPSA - sizes not Guaranteed after May 31st
Gender *
Birth date
MM
/
DD
/
YYYY
Entering Grade in the Fall *
Important info about your child we should know about
e.g. Allergies - learning disabilities (if any) *Leave blank if "None"*
CONTACT INFORMATION
Parents Name *
Home address *
Phone number - (where we can contact you during camp) *
Other Phone Number
Emergency Contact *
In case we cannot get a hold of you
Emergency Contact Phone # *
Session Information
Please check the session you plan to attend *
What school does the camper attend *
How did you hear about our camp (check all that apply)
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms