2019 Summer Camp Registration Form
Student's First Name *
Your answer
Student's Last Name *
Your answer
Birth of Date
MM
/
DD
/
YYYY
Select Camp & Date
Full Day
Half Day (morning)
Half Day (afternoon)
French 6/17 ~ 6/21
French 6/24 ~ 6/28
Japanese 7/8 ~ 7/12
Japanese 7/15 ~ 7/19
Japanese 7/22 ~ 7/26
Guardian's First Name *
Your answer
Guardian's Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Home Address
Your answer
Emergency Contact Person #1 Name *
Your answer
Phone Number *
Your answer
Emergency Contact Person #2 Name *
Your answer
Phone Number *
Your answer
Any Allergies and Medical Conditions
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service