Camp Spark Registration 2019
Camp Spark Registration 2019
Email address *
Last Name of the Camper *
Your answer
First Name of the Camper *
Your answer
Male/Female *
Date of Birth *
MM
/
DD
/
YYYY
Parent(s)/Guardian(s) *
Your answer
Address *
Your answer
Home Phone (Mom, Dad, and/or Guardian) *
Your answer
Work Phone (Mom, Dad, and/Or Guardian) *
Your answer
Cell Phone (Mom, Dad, and/or Guardian) *
Your answer
E-Mail Address(es) (Mom, Dad, and/or Guardian) *
Your answer
Camper Lives With: *
Please list any other person(s) by whom your camper is allowed to be picked up: *
Your answer
T-Shirt Size *
All campers will be monitored at the pool. Tell us about your camper. My camper can... *
For planning purposes, how many days per week will your child to attend camp? *
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