JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Camper
$30
Camp dates July 11-15, 2022
From 9:00 am -3:00 pm
Deadline June 27, 2022 at 3:00 pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Name
*
Your answer
Child's Nickname
Your answer
Age (at the start of camp)
Your answer
Gender
Female
Male
Other:
Clear selection
Child Is
Deaf
Hard of Hearing
Hearing with Deaf Sibling
Hearing with Deaf Parents
Other:
Clear selection
Can the camper swim without the assistance of a flotation device?
*
Your answer
Is there anything else you are concerned about or information the de l'Eppe staff should know about
Your answer
Shirt size
*
Child S
Child M
Child L
XS
S
M
L
XL
Other:
Mailing Address, City, State, and Zip code
Your answer
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
Forms
