HP SUMMER CAMP REGISTRATION
CAMP WEEKS (please check which week(s) you choose)
STUDENT NAME *
Your answer
PARENT(S) NAME *
Your answer
STUDENT DOB *
MM
/
DD
/
YYYY
PLEASE SHARE ANY INJURIES OR HEALTH ISSUES OR ALLERGIES WE SHOULD BE AWARE
Your answer
WHAT ARE YOUR MAIN GOALS FOR YOUR CHILD?
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