Summer Camp Application Form Question Title * 1. Which camp are you interested in? Camp A Camp B Camp C Question Title * 2. Which session are you interested in? Session 1: [DATE-DATE] Session 2: [DATE-DATE] Session 3: [DATE-DATE] Question Title * 3. Camper Name Question Title * 4. Camper Age Group 7-10 11-14 15-18 Question Title * 5. Parent/Guardian Name Question Title * 6. Parent/Guardian Email Question Title * 7. Parent/Guardian Phone Question Title * 8. Address Question Title * 9. What allergies does your camper have, if any? Question Title * 10. What medication does your camper need to take, and at what time, if any? Question Title * 11. Camper T-Shirt Size Small Medium Large Extra Large Other (please specify) Question Title * 12. Emergency Contact Question Title * 13. Emergency Contact Email Question Title * 14. Emergency Contact Phone Question Title * 15. Is this person authorized to pick up your child in the event of an emergency? Yes No For help setting up payments through SurveyMonkey, please visit https://help.surveymonkey.com/en/surveymonkey/create/accepting-payments/ Done