FAMILY DIVE CLUB CAMP REGISTRATION:
Welcome to Family Dive Club's Summer Registration. We know there are many summer camp options to choose from and we are thrilled you have chosen Family Dive Club to enrich your child's summer experience. We are committed to providing fun, active, and engaging experiences where children gain knowledge and skills serving them long after camp is over. This form is the first step to registering your camper. Your child's spot in camp is not guaranteed until the deposit is received. See deposit information below. There are also other specific camp forms we will send you depending on which camp your child is attending.
Teen Scuba Camp
Kid's Ocean Camp
WHICH CAMP ARE YOU REGISTERING FOR? *
Required
For Kid's Ocean Camp Only: Check all that apply *
Required
CAMPER'S NAME: *
Your answer
CAMPER'S ADDRESS *
Your answer
CAMPER'S AGE *
Your answer
CAMPER'S DOB *
MM
/
DD
/
YYYY
CAMPERS GENDER *
Your answer
CAMPER'S EMAIL ADDRESS, IF THEY HAVE ONE.
Your answer
CAMPER'S CELL PHONE NUMBER, IF THEY HAVE ONE.
Your answer
CAMPER'S T-SHIRT SIZE (please specify youth or adult) *
Your answer
CAMPER'S WEIGHT *
Your answer
CAMPER'S HEIGHT *
Your answer
FOR TEEN SCUBA CAMP ONLY. PLEASE RATE YOUR CAMPERS COMFORT IN THE WATER.
For Kid's Ocean Camp Only. Please choose a preferred color for fins and snorkel.
CAMPER'S SHOE SIZE *
Your answer
GUARDIAN'S NAME *
Your answer
GUADIAN'S EMAIL ADDRESS *
Your answer
GUARDIAN'S CELL PHONE NUMBER *
Your answer
SCHOOL CAMPER CURRENTLY ATTENDS *
Your answer
CAMPER'S RISING GRADE FALL 2019 *
Your answer
IF YOUR CAMPER IS ATTENDING CAMP WITH A FRIEND OR FRIENDS PLEASE LIST THEIR NAMES BELOW.
Your answer
WILL YOUR CAMPER EXPERIENCE A BIRTHDAY OR BIG EVENT DURING THE WEEK OF CAMP? IF SO PLEASE SHARE.
Your answer
HOW DID YOU LEARN ABOUT US? *
Your answer
BRIEFLY SHARE WHY YOU ARE INTERESTED IN THIS CAMP. *
Your answer
WHAT DO YOU HOPE YOUR CAMPER GETS OUT OF THIER CAMP EXPERIENCE? *
Your answer
ARE THERE ANY HEALTH ISSUES OR MEDICAL CONCERNS , WE SHOULD KNOW ABOUT, INCLUDING BUT NOT LIMITED TO ASTHMA, ALLERGIES, CHRONIC RESPITORY ISSUES, ADHD, MENTAL HEALTH ISSUES, BEHAVIORAL HEALTH ISSUES, CHRONIC ANXIETY OR DEPRESSION, ECT? PLEASE EXPLAIN OR WRITE N/A. THIS INFORMATION WILL REMAIN CONFIDENTIAL AMONG CAMP STAFF. *
Your answer
A non-refundable deposit is required to secure your child's spot at camp. $150.00 for Teen Scuba Camp and $100 for Kid's Ocean Camp. Which is your preferred method of payment? *
PHOTO RELEASE STATEMENT: As the legal guardian of the camper I am registering, I allow photographs of my child to be taken during Family Dive Club camp session activities. I further give permission and consent that any such photographs may be published in print or electronically and used by Family Dive Club and it's agents, to illustrate and promote Family Dive Club's youth programs. Please sign your name in the space below to confirm permission. *
Your answer
I have read and agree with all terms and agreements. See terms and agreements on the Family Dive Club Website
Submit
Never submit passwords through Google Forms.
This form was created inside of Alabama School of Fine Arts. Report Abuse - Terms of Service