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Camp Fire Extended Day Registration
We will need a registration form filled out for EACH child who will be participating in the Extended Day Program.
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* Indicates required question
Student's Name (First, Middle Initial, Last)
*
Your answer
My student prefers to be called
If your child does not go by their legal name or prefers a nickname, please share that here.
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Ethnicity
African American / Black
Asian
Caucasian / White
Hispanic / Latinx
Multiracial
Native American
Pacific Islander
Other:
Clear selection
My student identifies as
Male
Female
Nonbinary
Other:
Clear selection
I give my permission for photographs or videos of my child to be used in promotional materials for Camp Fire. Photos and videos of my child may be used in the weekly Camp Fire newsletter, or on the Camp Fire website and social media outlets.
*
Yes
Only internally (e.g., in the Camp Fire GSMS weekly newsletter)
No
Other:
Was your student registered for the extended day program last year (the 2022/2023 school year)
*
Yes
No
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