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2023 OUMC Summer Camp Registration
Please fill out one form per child attending camp
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* Indicates required question
Returning Camper
*
Yes
No
If No how did you hear about our program
Your answer
Campers First Name
*
Your answer
Campers Last Name
*
Your answer
Sex
*
Female
Male
Date of Birth
*
Your answer
Child's Age
*
Your answer
Grade during current school year
Your answer
Does your child have any allergies
*
Your answer
Address
*
Your answer
Best Phone Contact
*
Your answer
Mother's Name
*
Your answer
Mother's Cell Phone
*
Your answer
Mother-TEXT?
*
Yes
No
Mother's E-mail Address
*
Your answer
Mother's Address
*
Your answer
Mother's Employer
*
Your answer
Mother's Occupation
*
Your answer
Mother's Work Phone
*
Your answer
Father's Name
*
Your answer
Father's Cell Phone
*
Your answer
Father-TEXT?
*
Yes
No
Father's E-mail Address
*
Your answer
Father's Address
*
Your answer
Father's Employer
*
Your answer
Father's Occupation
*
Your answer
Father's Work Phone
Your answer
Marital Status of Parents
*
Married
Single
Separated
Other Children in the Family (not attending camp)
*
Your answer
Contacts if Parents cannot be reached (Emergency Contact)
*
Your answer
People Authorization to Pick Up your child
*
Your answer
Full Time or Part Time?
*
Full Time
Part Time
If Part Time how many days a week will your child attend? If a set day every week please list days also
Your answer
Hours attending camp
*
Your answer
2023 Camp Dates
*
May 30-June 2
June 5-9
June 12-16
June 19-23
June 26-30
July 3-7 Closed July 4th
July 10-14
July 17-21
July 24-28
July 31-Aug 4
Aug 7 & 8
Required
Parent/Guardian Signature
*
Your answer
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