Cupertino Middle School Academic & Sports Camp Registration
The combined Academic and Sports Camp will only be offered July 11 - 15th.  If you would like to enroll in our June camp or for our all day sports camp, please go to: https://docs.google.com/forms/d/1F0c92JNnhIoi8h0DlkFhdfCsqQeqp0RXIbWSz7ZICDY/viewform

Please fill in all the information below for your child.  If you have more than one child attending, please fill in one form for each child.  Before beginning, please read the Parent Guardian Permission/Release form on our website.  You will be asked to check a box below stating that you have read this.  

Please send payment check before May 30th to:

Valley Sports Camp * 2360 Gunar Dr. * San Jose * CA * 95124

**NOTE: We will receive your electronic registration immediately after you press the submit button***
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Child's First Name *
Child's Last Name *
Sex *
Birth Date (Month/Date/Year) *
School your child currently attends *
If other, please list what school they attend.  Thank you.
Grade level your child will be in next year ('16-'17) *
Enrollment Option (Please note the location when choosing) *
The Academic and Sports Camp will only be offered July 11 - 15th.  If you would like to enroll in our June camp or for our all day sports camp, please go to: https://docs.google.com/forms/d/1F0c92JNnhIoi8h0DlkFhdfCsqQeqp0RXIbWSz7ZICDY/viewform
T-shirt Size *
Parent or Parent Guardian's Name *
Cell / Work / or Home Phone Number *
This should be the phone number that is best to get a hold of you during the day
Email Address *
Camp confirmations, reminders, notices, etc. will be sent to this email address
Mailing Address *
Please List the first and last names of a few friends your child would like to be grouped with (optional)
If someone other than the parents will be picking up your child, please let us know who has permission to check out your child from camp.  Also, let us know if your child has permission to leave by him/herself at the end of the day (i.e. walk/bike home).
Describe any social, emotional, or physical needs your child may have. Please include allergies or medical concerns. (optional)
Swimming Ability *
How did you hear about the camp? *
Check all that apply.
Required
Emergency Contact Person *
Emergency Contact Phone Number *
Parent Guardian Permission/Release *
Please see the Parent Guardian Permission/Release page on our website
Required
Payment Option *
To take advantage of the Early Registration Rate, payment must be submitted by May 30th.  Thank you!
Please press submit, and your answers will be sent to Valley Sports Camp directors.  
Please mail your payment check to: Valley Sports Camp * 2360 Gunar Dr. * San Jose * CA * 95124
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