Child's InformationChild's NameDate of BirthDoes your child have any allergies?YesNoIf yes, please list them:School Currently AttendingGrade in Fall 2025Parent / Guardian InformationMother / Guardian Full NamePhone NumberEmail AddressFather / Guardian Full NamePhone NumberEmail AddressEmergency Contact (Other than Parent/Guardian)Full NamePhoneRelationship to ChildSummer Camp Program (Ages 7-10)Full DayHalf SayClass Selection (FD)Dance (Morning) + Craft (Afternoon)Craft (Morning) + Craft (Afternoon)Do you want after care? (FD)4.00 - 5.30 pmYesNoHalf Day TimesMorning (9-12pm)Afternoon (1-4pm)Select Activiti (HD)Choose ActivityDanceCraftDo you want after care?4.00 - 5.30 pmYesNoSummer Camp Weeks (Check all that apply)Week 1: June 2 – 6Week 2: June 9 – 13Week 3: June 16 – 20Week 4: June 23 – 27TotalSend Message
