Bloomingdale Day Camp
Please register one camper at a time. You will be able to return to camper information page to register a 2nd or 3rd camper. Please be sure to click on SUBMIT at the end of the form in order to complete the process and have your answers included on the spread sheet.
Parent or Guardian Information
Parent 1 Full Name
Your answer
Parent 1 E-mail Address
Your answer
Town
Your answer
Parent 1 Cell Number
Your answer
Parent 1 Home Number
Your answer
Parent 1 Work Number
Your answer
Parent 1 Home Address
Your answer
Parent 1 Relationship to Camper
Parent 2 Full Name
Your answer
Parent 2 E-mail Address
Your answer
Parent 2 Cell Number
Your answer
Parent 2 Home Number
Your answer
Parent 2 Work Number
Your answer
Parent 2 Relationship to Camper
I plan to pay by
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