Summer Camps at Sullins 2019
Student registration form for Summer Camps at Sullins. Please complete one form per child.

*** Updated immunization records, documentation of current physical, and copy of birth certificate are required for all children to participate in Summer Camps.

*** Summer Camps must be paid in full upon registration. Your registration will not be complete until your payment is received. Please use the PAY NOW button on the previous page to submit your payment after registering.
Child's Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Does your child have any allergies? *
Your answer
Does the staff have permission to apply: *
Required
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Grade in August 2019
Current School Attending
Your answer
Parent 1 or Legal Guardian's Full Name *
Your answer
Parent 1 or Legal Guardian's Cell Phone # *
Your answer
Place of Employment / Work Phone #
Your answer
Email Address *
Your answer
Parent 2 or Legal Guardian's Full Name *
Your answer
Parent 2 or Legal Guardian's Cell Phone # *
Your answer
Place of Employment / Work Phone #
Your answer
Email Address *
Your answer
Additional Persons Authorized to Pick Up (Name / Phone #) *
Your answer
Select one or more Summer Camps your child will be attending. Please make note of the price option for each camp you select as you will need this information when you submit your payment via PayPal.
Additional information you would like to provide:
Your answer
*** PLEASE NOTE: Summer Camps must be paid in full upon registration. Your registration will not be complete until payment is received. Please use the PAY NOW button on the previous page to submit your payment after registering.
Payment Options *
Electronic Signature *
Your signature confirms that all above information is correct and you agree to submit your payment. It also confirms that you will provide updated immunization records, documentation of current physical, and copy of birth certificate for your child. You are also granting permission for your child to be included in photos/videos which can be used by the school.
Your answer
Submit
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