Registration Form For Vacation Week At Everwood Day Camp April 21st-24th
Email address *
Child(ren's) Name(s)
Child(ren's) Current Grade
Parent/Guardian 1 Full Name:
Parent/Guardian 1: Phone Number, where you may be reached while your child(ren) is at Camp
Parent/Guardian 1: Email Address
Parent/Guardian 2: Full Name
Parent/Guardian 2: Phone number to be reached while child(ren) is at Camp
Parent/Guardian 2: Email
Address (Street and Town)
Anything we should know about your child(likes, dislikes, allergies, fears etc.)
Emergency Contact If We Cannot Reach You (Please list 2; Name, Number and Relationship)
Authorized Grown-ups to Pick up your Child: First and Last Name and Phone Number
Which days will your child(ren) attend:(please check-off 2-4 days)The cost for the program is $85 per day 8:30am-4:30pm:
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Everwood Day Camp.