Camper's
Information |
| Campers Last Name: |
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| Campers First Name: |
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| Campers
Address: |
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| City: |
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| State: |
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| Zip: |
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Phone Number:
(please be sure this number is operational) |
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| Parent's
Cell Phone: |
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| Parent's
Email: |
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| Verify
Email: |
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| Campers
Age: |
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| Campers
Date of Birth : |
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| Campers
Gender: |
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| Your Current Grade Level |
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Type
of Registration:
Choose your grade level (THIS SCHOOL YEAR'S GRADE LEVEL) and week(s) you want to attend
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| Would
you be willing to make a monetary donation to camp beyond the
registration fee ? If so please enter the
amount. If not leave blank. |
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****
ABOUT LESSONS AND ACTIVITIES****
Please read carefully
WELCOME Beginner campers ! Campers at this grade level are able to participate as a day camper only. Unless other arrangements are made personally with the direcctor.
Day campers in grades 2 -3 arrive at 9:00 A.M. and depart at 4:00 P.M. although they are welcome to stay for dinner for an additional $5.00 per day but must depart after dinner. Parents are always welcome.
Day campers in grades 2-3 will learn the basics of music and have the opportunity to play the recorder. Campers will have fun learning music in an beautiful atmosphere. Music lessons for beginner camper will be from 9:00 - 11:30 followed by lunch and afternoon activities.
The activities at this age level will be confined to the camp grounds and supervised by parent volunteers and a paid staff studying elementary education. Children in this age bracket will participate in arts and crafts, filed games, water balloon fights and many more fun and developmentally appropriate actives. Young day campers will not participate in hikes or be able to go to the pool. ( That's for next year) |
Instrument:
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| Level
of musicianship: |
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Emergency
Information |
| Emergency
Contact 1 Name: |
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| Emergency
Contact 1 Phone: |
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| Emergency
Contact 1 Relationship to Camper: |
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| Emergency
Contact 2 Name: |
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| Emergency
Contact 2 Phone: |
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| Emergency
Contact 2 Relationship to Camper : |
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| Emergency
Contact 3 Name: |
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| Emergency
Contact 3 Phone : |
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| Emergency
Contact 3 Relationship to Camper : |
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Medical
information that we should be aware of:
If a child needs medication, we need to know the dosage and the times
to administer the medicine. All medication will be administered by
adults. The medication must be in the original container with the
instructions clearly written on the bottle. The bottle must have the
child's name printed on the label. Any medication must be given to the
registration person upon check-in.
Skip if none |
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Food
Allergies:
Skip if none |
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| Can
we administer Tylenol if necessary: |
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| Can
we administer IBUPROFEN if necessary: |
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| Can
we administer antacid if necessary: |
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| In
the event of a medical Emergency, and we can not reach you or your
contacts, do we have your permission to have your child transported to
the hospital : |
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| Camper's
Physician Name: |
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| Camper's
Physician Phone: |
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| Camper's
Parent (s) Name: |
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| Is
your child allowed to go in the dunk tank: |
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Please
tell us anything else about your child that we may need to know:
ONCE YOU CLICK SUBMIT AN INVOICE WILL BE CREATED PLEASE PRINT THE INVOICE AND REMIT YOUR PAYMENT ASAP
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