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Sandlapper's Registration for Kinder Camp August 4 - 7, 2015
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Parent/Guardian's Name (First & Last)
*
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Phone Number #1
*
Your answer
Parent/Guardian Phone Number #2
Your answer
Emergency Contact Name (Other than Parent/Guardian above)
*
Your answer
Emergency Contact Phone Number
*
Your answer
2nd Emergency Contact Name
Your answer
2nd Emergency Contact Phone Number
Your answer
Any Student Health Concerns?
Your answer
Who is picking up student from Kinder Camp each day? (Should be one of the adult contacts listed above)
*
Any change should be indicated in writing
Your answer
Please mark the days your child will attend.
(We hope that all 4 days will be possible for the optimal experience)
Tuesday
Wednesday
Thursday
Friday
Did your child attend a PreK or Child Development Program?
*
Yes
No
If YES above, what/where was this PreK program?
Your answer
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