Challenges Summer Program 2020 Application
Application Deadline: April 26, 2020

Please send a non-refundable $30 registration fee when you submit your application if your child was not in Challenges last year. Please note, this year Challenges will be held at St. Martin's Episcopal School in Metairie, La.

Please send a photo of your child along with your registration fee. Thank you!
Email address *
July 13th-31st, 2020
8:15 - 11:15 a.m.
Child Care: 11:15 a.m. – 12:00 p.m
After Care available until 3:00pm
General Information
Name of Student *
Your answer
Gender *
Is your child a veteran camper?
School Currently Attending *
Your answer
School Entering in the Fall *
Your answer
Grade Entering in the Fall *
Date of Birth *
MM
/
DD
/
YYYY
What aspect of your child's growth and development are you most concerned about? *
Your answer
T-Shirt Size *
Referred by:
How did you hear about us?
Your answer
Contact Information
Parent 1's First Name *
Your answer
Parent 1's Last Name *
Your answer
Parent 1's Address *
Your answer
Parent 1's City, State and Zip Code *
Your answer
Parent 1's Primary Phone Number *
What is the BEST way to reach you?
Your answer
Parent 1's Home Phone Number *
Your answer
Parent 1's Cell Phone Number *
Your answer
Parent 1's Work Phone Number *
Your answer
Parent 1's Email Address *
Your answer
Parent 2's First Name
Your answer
Parent 2's Last Name
Your answer
Parent 2's Address
Your answer
Parent 2's City, State, and Zip Code
Your answer
Parent 2's Primary Phone Number
What's the BEST way to reach you?
Your answer
Parent 2's Home Phone Number
Your answer
Parent 2's Cell Phone Number
Your answer
Parent 2's Work Phone Number
Your answer
Parent 2's Email Address
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Challenges Summer Program. Report Abuse