WELO 2019 Summer Camp Registration Form
Summer Camp starts June 10, 2019 through July 12, 2019 at 1000 42nd St. Oakland CA, 94608 . We have early drop off available starting at 7AM and late pick up from 4PM to 6PM. Normal camp hours Monday through Friday 10AM to 4PM
Email address *
Whats your camper name (First and Last)? *
Your answer
Whats your child gender? *
What is your age? *
Grade *
Parent's Name *
Your answer
Address *
Your answer
Cellular/Work Telephone: *
Your answer
Evening Telephone
Your answer
E-mail *
Your answer
Emergency Contact Name? *
Your answer
Emergency Contact Number? *
Your answer
Do your child know how to swim? *
We Lead Ours will take pictures and videos during summer camp. Do you provide WELO with the rights to take photos of your camper? *
Does your child have any food allergies? *
If you answered yes to the above question please state the foods your child is allergic to?
Your answer
Does your child have any medical or emotional health conditions (ex. ADHD, Asthma)? *
If you answered yes to the above question please list their medical conditions?
Your answer
For any reason if your child need to be escorted to the hospital do you provide WELO with the ability to accompany them to the hospital using ambulance services? *
Do you need early drop off services? *
Do you need late pick up services? *
Summer camp packages? *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of We Lead Ours. Report Abuse - Terms of Service