2018 Summer Day Camp Registration
We are currently accepting registration for our 2018 Summer Day Camp. Complete this registration form to reserve your spot today! All registration and weekly payments can be made at 5275 Market St. Ste. III San Diego, CA 92114. For more information call (619) 487-0170.
Email address *
Are you a returning camper? If not, how did you hear about Show? *
Your answer
Camper's Name (First & Last) *
Your answer
Camper's Birthdate *
MM
/
DD
/
YYYY
Camper's Age *
Your answer
Which weeks will you be attending (Check all that apply). *
Required
Parent's Name (First & Last) *
Your answer
Address *
Your answer
City, State, Zip Code *
Your answer
Parent Cell Phone *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Are there any court ordered custody issues? *
If yes, please explain.
Your answer
Emergency Contact Name (First & Last) *
Your answer
Emergency Contact Phone Number *
Your answer
Relationship to Camper *
Your answer
Please list all persons authorized to pick up camper *
Your answer
Please list any allergies the camper has.
Your answer
Please list any medications the camper is currently taking.
Your answer
Insurance Company
Your answer
Policy #
Your answer
Emergency Room of Choice *
Your answer
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