Hi-Five Chicago 2019: Family/Camper Facts Form
Dear Hi-Five Chicago Families,

This form gives you a chance to give Hi-Five Chicago some information about your family, emergency contacts, and any other pertinent information regarding your child.

Please Fill out all required fields, CLICK NEXT to proceed to the second section.

Join Our Team!
Camper First Name *
Your answer
Camper Last Name *
Your answer
Camper Grade: Fall of 2019 *
Your answer
Mailing Information
Address *
Your answer
City *
Your answer
Zip *
Your answer
Parent/Guardian #1 Facts
*REQUIRED
First Name (Parent/Guardian #1) *
Your answer
Last Name (Parent/Guardian #1) *
Your answer
Home Phone (Parent/Guardian #1) *
xxx-xxx-xxxx
Your answer
Cell Phone (Parent/Guardian #1) *
xxx-xxx-xxxx
Your answer
Work Phone (Parent/Guardian #1) *
xxx-xxx-xxxx
Your answer
Email (Parent/Guardian #1) *
Your answer
Parent/Guardian #2 Facts
First Name (Parent/Guardian #2)
Your answer
Last Name (Parent/Guardian #2)
Your answer
Home Phone (Parent/Guardian #2)
xxx-xxx-xxxx
Your answer
Cell Phone (Parent/Guardian #2)
xxx-xxx-xxxx
Your answer
Work Phone (Parent/Guardian #2)
xxx-xxx-xxxx
Your answer
Email (Parent/Guardian #2)
Your answer
EMERGENCY CONTACT #1 Facts
*REQUIRED
First Name (Emergency Contact #1) *
Your answer
Last Name (Emergency Contact #1) *
Your answer
Relationship to Camper (Emergency Contact #1) *
Your answer
Home Phone (Emergency Contact #1) *
xxx-xxx-xxxx
Your answer
Cell Phone (Emergency Contact #1) *
xxx-xxx-xxxx
Your answer
Work Phone (Emergency Contact #1)
xxx-xxx-xxxx
Your answer
EMERGENCY CONTACT #2 Facts
First Name (Emergency Contact #2)
Your answer
Last Name (Emergency Contact #2)
Your answer
Relationship to Camper (Emergency Contact #2)
Your answer
Home Phone (Emergency Contact #2)
xxx-xxx-xxxx
Your answer
Cell Phone (Emergency Contact #2)
xxx-xxx-xxxx
Your answer
Work Phone (Emergency Contact #2)
xxx-xxx-xxxx
Your answer
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