March Break & Summer Camps 2019: General Information and Medical Form

Dear Parent/Guardian,

Please complete and submit this form by the first day of camp.

  • 1
    General Information
  • 2
    Medical Information
  • 3
Child's Information
Parent/Guardian Contact Information
Pick-Up List / Alternative Emergency Contact
Only the people listed on your pick-up information on the above list, and those listed under Parent/Guardian, will be permitted to pick your child up from camp. Any changes to this information must be submitted in writing to the program leader. Photo identification may be required.