Child’s InformationName: First Last Goes by:Date of birth: MM slash DD slash YYYY Gender:List any medications, allergies, medical or physical concerns:Parent/Guardian InformationName: First Last Address: City State / Province / Region ZIP / Postal Code Cell:Email: Additional Emergency Contact Information Name: First Last Relationship:Cell:Agreements I agree to the following: The child will follow directions of camp instructions and assistants; The child will not bring any over-the-counter medications to camp; The child will wear closed-toed shoes to camp each day. The camp instructors and assistants are not permitted to give the child any medication; Complete an evaluation form at the end … Continue reading Art & Dance Day Camp Registration Form