2024 Deerbrook Discovery Camp PARTICIPANT Sign-Up

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Parent/ Guardian Contact Information

Parent/ Guardian Contact #1

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Email

*

This address will receive a confirmation email

Phone

*

Address

*

Parent/ Guardian Contact #2

*

Phone

*

Email

Child #1

Child #1 (First)

Child #1 (Last)

Birthdate

What is this child's grade for the 2024-25 school year?

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th

Gender

Please select one option.

Female Male

Please list any food allergies. (enter n/a if none)

*

Which Wednesdays will this child attend Discovery Camp?

June 26

*

Please select all that apply.

Yes No

July 3

*

Please select all that apply.

Yes No

July 17

*

Please select all that apply.

Yes No

July 24

*

Please select all that apply.

Yes No

July 31 (off-site)

*

Please select all that apply.

Yes No

August 7

*

Please select all that apply.

Yes No

Child #2

Child #2 (First)

Child #2 (Last)

Birthdate

What is this child's grade for the 2024-25 school year?

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th

Gender

Please select one option.

Female Male

Please enter any food allergies. (enter N/A if none)

Which Wednesdays will this child attend Discovery Camp?

June 26

Please select all that apply.

Yes No

July 3

Please select all that apply.

Yes No

July 17

Please select all that apply.

Yes No

July 24

Please select all that apply.

Yes No

July 31 (off-site)

Please select all that apply.

Yes No

August 7

Please select all that apply.

Yes No

Child #3

Child #3 (First)

Child #3 (Last)

Birthdate

What is this child's grade for the 2024-25 school year?

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th

Gender

Please select one option.

Female Male

Please enter any food allergies. (enter N/A if none)

Which Wednesdays will this child attend Discovery Camp?

June 26

Please select all that apply.

Yes No

July 3

Please select all that apply.

Yes No

July 17

Please select all that apply.

Yes No

July 24

Please select all that apply.

Yes No

July 31 (off-site)

Please select all that apply.

Yes No

August 7

Please select all that apply.

Yes No

Child #4

Child #4 (First)

Child #4 (Last)

Birthdate

What is this child's grade for the 2024-25 school year?

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th 6th

Gender

Please select one option.

Female Male

Please enter any food allergies. (enter N/A if none)

Which Wednesdays will this child attend Discovery Camp?

June 26

Please select all that apply.

Yes No

July 3

Please select all that apply.

Yes No

July 17

Please select all that apply.

Yes No

July 24

Please select all that apply.

Yes No

July 31

Please select all that apply.

Yes No

August 7

Please select all that apply.

Yes No

Description

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