Imagination Camp Registration 2018
Camp Selections
Choose the week(s) you would like to attend. Individuals may register for any amount of weeks that they would like. If a week you would like is full, select the week to be placed on the waiting list. Please register for the week(s) that you know your child *will* attend!
Camps listed are for Kindergarten-4th Graders *
Required
Camper Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Your answer
Child's Grade (The grade they will be entering into in August/September 2018) *
Child's School *
Your answer
Does your child have any food allergies or dietary restrictions/preferences? *
If yes, please list all allergies or dietary restrictions/preferences
Your answer
Parent/Guardian Name(s) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Daytime phone (work, etc.) *
Your answer
Cell phone *
Your answer
Email Address *
Please note, the email address you give us is the address that all camp communication will be sent to!
Your answer
How did you learn about Yes! And...'s Summer Programs? *
Required
About Your Child
Here at Yes! And... we try to do something very specific. It's much more than teaching your child some artistic skills. We are not childcare and we hope that is one of the many reasons why you are choosing to send your child to our summer programs. In order for us to work best with your child, please answer the following questions as honestly as possible. The more information you can give us, the better!
Is there anything we need to know about your child that will affect how they behave at camp? *
For example: They struggle with anxiety; this is their first time going to camp or their first time participating in anything "organized", etc.
Your answer
Has anything significant happened in their life in the past year? *
For example: We just moved; there was a death in our family; we had a baby, etc.
Your answer
Is there anything else our staff should know about your child? *
Your answer
Check the box below if there is something you would prefer to not put on this form but speak with us about OR if you would like to speak to us further about your answers above.
Does your child have an area of the arts that they are most interested in? *
Required
What do you understand to be your child's greatest challenges? *
Your answer
Their greatest strengths? *
Your answer
What three words best describe your child? *
Your answer
Additional Information
Check this box if your child will need extended care.
We do offer before and after care if needed. Before care is from 8am-9am and After Care is from 3pm-5pm. Extended care costs $6 per hour.
Do you need to apply for a Campership? *
Camperships are Yes! And...'s summer scholarship program. We DO NOT turn away a child because of an inability to pay.
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