WCK DAY CAMP APPLICATION
PARENT/GUARDIAN INFORMATION
Name of Parent/Guardian *
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Primary language spoken in the home *
Your answer
Additional Parent/Guardian Information
Name of Parent/Guardian
Your answer
Address
Address (if different from above)
Your answer
Email
Your answer
Phone number
Your answer
Who has permission to pick-up your child(ren)? *
Your answer
EMERGENCY CONTACT
Who should we call if we can't get a hold of you?
First and Last Name *
Your answer
Phone number *
Your answer
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