Montclaire After School Sports Camp Registration
Please fill in all the information below for your child. If you have more than one child attending, please fill in one form for each child. Before beginning, please read the Parent Guardian Permission/Release form on our website. You will be asked to check a box below stating that you have read this.

**NOTE: We will receive your electronic registration immediately after you press the submit button***

Child's First Name *
Your answer
Child's Last Name *
Your answer
School your child currently attends *
If other, please list what school they attend. Thank you.
Grade level ('18-'19) *
Gender *
Teacher *
Your answer
Enrollment Option *
Please check the camp options you would like your child to attend.
Required
Parent or Parent Guardian's Name *
Your answer
Email Address *
Camp confirmations, reminders, notices, etc. will be sent to this email address
Your answer
Cell / Work / or Home Phone Number *
This should be the phone number that is best to get a hold of you during the day
Your answer
Who will be picking your child up from camp (parent, nanny, walk home, sibling, etc.)? Please indicate here if you would like your child to be taken to CDC after camp. *
Your answer
Describe any social, emotional, or physical needs your child may have. Please include allergies or medical concerns. (optional)
Your answer
Emergency Contact Person *
Your answer
How did you hear about the camp? *
Check all that apply.
Required
Emergency Contact Phone Number *
Your answer
Parent Guardian Permission/Release *
Please see the Parent Guardian Permission/Release page on our website
Required
Please press submit, and your answers will be sent to Valley Sports Camp directors.
We look forward to having your child at camp!
Your answer
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