Head Over Heels No School Day Camp Request
Email address *
Your name *
Your answer
Best number to reach you *
Your answer
Camp date you are requesting. If you are requesting a full week, please specify this at the end of this form in " Additional notes for Camp Director." *
MM
/
DD
/
YYYY
The school your child attends *
Your answer
How many children do you plan to enroll? *
What program are you interested in registering Child #1 for?
What program are you interested in registering Child #2 for?
What program are you interested in registering Child #3 for?
HOH requires the commitment of at least (6) children of the same age range, either preschool (3-4 years-old), or school-age (5-12 years-old), to enroll in the No School Day Camp being requested before opening registration. Please indicate your willingness to enroll your child/ren in the date requested. *
Additional notes for Camp Director
Your answer
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