Fall 2021 Friday Day Camp Registration
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Email *
Please select the camp(s) your student will be attending. *
Required
Participant's Full Name: *
Participant's Age: *
Participant's Current Grade Level: *
Does the participant attend school? If so, where? *
Participant's food or medical allergies: *
(1) Legal Guardian's Name: *
Relationship to Participant: *
Home Phone Number:
Cell Phone Number: *
Email: *
Additional Emergency Contact Name: *
Relationship to Participant: *
Home Phone Number:
Cell Phone Number: *
Is the participant allowed to leave camp by themselves? *
Please list all adults with whom the participant is allowed to leave: *
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