Summer Exploratory Camps REGISTRATION FORM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

ADDITIONAL INFORMATION
Full Camp: If your first selection is no longer available, we will contact you regarding
wait lists and/or alternative options.
Refunds: A partial refund may be given if there are extenuating circumstances that
require a cancellation of attendance. All refund requests will be considered on an
individual basis.
Additional Forms: In addition to this registration form, any campers that is NOT a current playschooler MUST have a completed Release Form to participate.

If you have any questions about registration, please contact Louise Miracle at westashevilleplayschool1@gmail.com

Email *

Todays date *

YYYY

Please indicate which camp(s) you are interested in having your child attend:

Move and Groove Camp-June 24-June 27 $160

Messy Camp July 8-11 $160

Buggin' Out July 15-18 $160

Summer Olympics July 29-Aug.1 $160

Fort Building Camp August 5-8 $160

Forest Camp August 12-15 $160

Total payment due (Sibling Discount $10.00 per camp) *

Participant name (first and last) *

Participant age at camp time and rising grade (example 7 yrs/2nd grade)

Parent/guardian name (Adult 1) *

Address

Best phone to reach you: *

Parent/guardian name (Adult 2)

Best phone to reach you:

Emergency contact (if unable to reach 2 primary adults) and phone number:

In addition to the adults listed above, please list anyone else permitted to pick up your child from camp:

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms