Summer Camp Booking Form Student Name:AgeSchoolAddressZipParent's PhoneParent's Email1st Parent/Guardian:Cell Phone2nd Parent/Guardian:Cell PhonePlace of workWork phoneEmergency Contact:Relationship:Telephone:Name and phone number(s) of person(s) other than parents allowed to pick up your child1 - Name1 - Phone2 - Name2 - Phone3 - Name3 - PhoneAny Special instructions, such as custody or restraining orders must be attached to this application and discussed personally with camp director. All information will be kept confidental .Please list any other information you'd like to include about your camper :Send Message
