Camp Laurel Camper Info Form
Please fill out this form as accurately as possible.

Camp is a semi-structured, group orientated, full day program. To help ensure the best camp experience for your child, including engagement, enjoyment and social/emotional growth, accurate information, including notation about any special concerns that may affect them throughout the day, is critical. This includes updated contact information, ongoing and spontaneous issues such as medical concerns, medications taken, behavior plans from the school year as well as a variety of other factors including personal or family issues.

INFORMATION IS CONFIDENTIAL.

At Camp Laurel, we seek to provide a safe, fun environment where all children are respected and have equal opportunity for participation. In the interest of that goal, Camp Laurel reserves the right to refuse admittance or dismiss from camp any person who presents a risk of harm to themselves or others by exhibiting behavior that is disruptive, inappropriate or unsafe. If your child becomes ill, injured, or presents a danger to themselves or others during the camp day and needs to be picked up, you or a person identified as your emergency contact will be notified immediately.

The Mount Laurel Township School District has a board policy concerning Harassment, Intimidation and Bullying. You may refer to the school district website to locate Board Policy #5131.1 for additional information and details. If your child attends Mt. Laurel schools/programs this policy pertains to you. Should you have any questions or concerns or suspect you may have an allegation to report, please contact Camp Laurel or the Community Education Office.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Grade as of MAY 2018 *
Child's Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Shirt Size *
Child's Address *
Your answer
Mother/Guardian Name
Your answer
Mother/Guardian Cell Number
Your answer
Mother/Guardian Home Number
Your answer
Mother/Guardian Work Number
Your answer
Mother/Guardian Email
Your answer
Father/Guardian Name
Your answer
Father/Guardian Cell Number
Your answer
Father/Guardian Home Number
Your answer
Father/Guardian Work Number
Your answer
Father/Guardian Email
Your answer
WHO SHOULD WE CONTACT FIRST *
Your answer
Additional People Authorized To Pick Up Child
Please add name, relationship and phone number of the people authorized to pick up OTHER than parents/guardians. Leave blank if no other people are to pick the child up. You can always add or modify as needed later.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms