Songbirds Summer Camp 2020 Registration
Camper Information
If you are registering more than one camper, please complete the form in it's entirety for each individual.
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Birthday *
MM
/
DD
/
YYYY
Grade Entering in Fall 2020 *
Your answer
Does your child have any allergies, illnesses, or any other medical conditions? *
If yes, please detail
Your answer
Are there any additional needs, requirements, or directions that would be helpful for the counselors to know? *
We are not legally allowed to ask about mental health issues directly, but knowing ahead of time is very helpful!
Your answer
Parent Information
Parent/ Guardian's Name *
Your answer
Email Address *
Your answer
Cell Phone Number *
(xxx) xxx-xxxx
Your answer
Mailing Address *
Your answer
Emergency Contact Information
Emergency Contact Name & Relation to Camper *
Your answer
2nd Emergency Contact Name & Relation to Camper *
Your answer
Names of individuals allowed to pick up your child from camp *
Your answer
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