SUMMER CAMP REGISTRATION FORM- 2021
Please fill out the entire form!
Email *
CHILD NAME *
PARENT'S NAMES *
PARENT'S EMAIL ADDRESS/PHONE NUMBERS *
GRADE IN SEPTEMBER *
AGE *
ADDRESS *
PHONE NUMBER *
ALLERGIES? *
EMERGENCY CONTACT 1 (Include Name, Relationship and Phone Number) *
EMERGENCY CONTACT 2 (Include Name, Relationship and Phone Number) *
I acknowledge that my child MUST wear a mask during camp hours while moving around the school building. *
PLEASE CHECK OFF WHICH WEEK(S) YOUR CHILD WILL ATTEND: *
Required
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Diocese of Rockville Centre. Report Abuse