Future Camp 2021 Registration Form
We are looking forward to seeing you this summer July 26th 2021 through August 6th 2021, virtually! Please complete this form by June 30th 2021, at the latest (though we encourage you to fill it out as soon as possible to get the ball rollin'!)
Camper Name: *
Camper Age: *
Best way to contact camper during the camp day? (By phone, by text, by email): *
Camper Phone Number: *
Camper Gmail (A gmail account is required to access google classrooms): *
Camper Mailing Address (incase we need to send you any supplies): *
Parent/Caregiver Name: *
Parent/Caregiver Phone Number: *
Parent/Caregiver Email: *
Emergency Contact Name and Phone Number (if different than parent/caregiver):
Primary device you’ll use for camp (computer, tablet, phone): *Note: Google Classrooms is best accessed via computer. *
How can we best support the student in having a fun, successful experience at future camp?
Camper's main interests for this year's camp: *
Required
Related to funding your camp experience, are you planning to utilize extended school year, office of vocational rehabilitation, or pay privately? *
Required
Do you need any assistance with applying for funding for camp? *
What activities would you like to see for our after hours events? (Movie night, trivia night, jackbox, informative presentation, etc) Feel free to make suggestions! *
Required
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This form was created inside of Evolve Coaching Inc..