NSYMCA HAWKS Camper Questionnaire - Basic Information
Camper Name *
First and last name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Parent/Guardian Name *
Your answer
Best Contact Number *
Your answer
Address *
Your answer
What school does the camper attend currently? *
Your answer
What grade will they be entering in the Fall of 2019? *
Emergency Contact (1) *
Please include the name, phone number, and relationship in your answer.
Your answer
Emergency Contact (2) *
Please include the name, phone number, and relationship in your answer.
Your answer
Which program are you planning to register for: *
Required
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