Lyonsgate Summer Camp 2020
Child's Name: *
Child's Age During Camp Week(s): *
Child's Lyonsgate Montessori Level Next Year: *
Camp Week Registering For: *
Check all that apply.
Required
Allergies: *
Does your child have any food or other allergies we should know about? (Enter "none" if applicable)
Health Issues: *
Does your child have any health or medical issues we should know about?
Health Card Number: *
Please provide your child's health card number for medical emergencies.
Parents' Names: *
Parent Phone Contact Information: *
Please provide telephone contact information for each parent.
Parent Email Contact Information: *
Please provide email addresses we can contact you at.
Emergency Contact/Alternate Pick-Up Information 1: *
Please provide the name and telephone contact information of someone we can contact in an emergency and who is authorized to pick your child up from Lyonsgate Summer Camp.
Emergency Contact/Alternate Pick-Up Information 2: *
Please provide the name and telephone contact information of someone we can contact in an emergency and who is authorized to pick your child up from Lyonsgate Summer Camp.
Photo/Video Permission *
Photos and videos of children engaged in camp activities may be taken and shared via the camp Seesaw page and/or on the Lyonsgate website and social media channels.
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