RestoreOKC Summer Camp Enrollment Form
I would like to enroll my student in Summer Kids Camp! I understand that Camp will be held every Monday, Wednesday, & Friday from 9am-1pm.
Email address *
Parent / Guardian Name *
Your answer
Student Name *
Your answer
Student Birthday *
MM
/
DD
/
YYYY
Grade Entering *
Phone *
Your answer
Address *
Your answer
Daycare *
Your answer
Daycare Phone *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Emergency Contact Relation To Student *
Your answer
Allergies
Your answer
Medications Taken
Your answer
Other
Your answer
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