Pediatric Eye Camp
We here at S.K. Optics take initiative to organize a pediatric (school children) screening camps where we team of trained optometrists come in to provide a full vision screeing check up camp at your school/organizing site and do our best to recommend the treatment for their eye problems.
Email address *
Organizing Comittee/Personal Handle *
Contact *
Number of Children to be screened *
Please provide us approximate range of students which we will need to be checked so that helps us to plan our logistics.
Complete Address of the School/ Camp Site *
Name of the Co-ordinator *
Contact Number of the Co-ordinator *
Email Id of the Co-ordinator *
Tentative Date of the Camp *
Please list 3 to 4 tentative dates (DD/MM/YYYY)
Declaration: *
I have filled the above information to the best of my knowledge and i agree to be contacted via phone call or emails for further discussion as required by the organizer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy