BA Summer Day Camp Registration
Please complete the information below to register. We will be in touch with payment instructions.
Child's Full Name *
Your answer
Grade child is entering next school year (2020-2021) *
Parent name #1 (This is the first parent we will contact in case of an emergency) *
Your answer
Parent #1 Phone Number *
Your answer
Parent #1 Email *
Your answer
Parent #1 Alternate Phone Number
Your answer
Emergency Contact/Parent #2 Name *
Your answer
Emergency Contact/Parent #2 Phone Number *
Your answer
Emergency Contact/Parent #2 Email *
Your answer
Emergency Contact/Parent #2 Alternate Phone Number
Your answer
Primary Address of Child *
Your answer
Secondary Address of Child
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Years playing organized hockey *
Your answer
Medical conditions or allergies? (If yes, please explain) *
Your answer
Anything we need to know academically, socially, or emotionally about your child: *
Your answer
Off-campus field trip participant? $100 transportation/admission fee for the summer. If no, student will need to be picked up by 1:50 pm on field trip days. Off-campus field trips will take place about once per week. (Note: We do not offer a pro-rated fee for those who choose to do only some of the field trips). *
Parent willing to chaperone a field trip? *
Any days/weeks you know the child will not be attending camp (Note: Due to staffing and facility costs, we also will not be able to pro-rate tuition fees) *
Your answer
T-Shirt Size *
Special requests to be paired in class with a friend or family member (Requests are not guaranteed)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy