Little Creek Summer Camp Registration 2019
Registration for Little Creek's Summer Camp 2019
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student current grade level for 2018-19.
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Parent's Phone contact number *
Your answer
Parent's email address *
Your answer
I verify that this is a working email and that I understand that Little Creek will communicate with me through this email address. *
Required
Which week is your first choice *
Which week is your second choice *
Home Elementary School* *
Your answer
If your child has allergies or asthma, please list below*
Your answer
If your child has food allergies, please list below*
Your answer
Do you give permission for your student to be photographed and or recorded during the camp for future camp promotions?* *
By typing your name below you give permission for Little Creek to examine your student's records for discipline referrals. *
Your answer
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