Summer Day Camp Registration Form Parent NameParent NameChild 1: NameChild 1: Birth Date Date Format: MM slash DD slash YYYY Child 1: Grade for 2018-2019 School Year Age 3 Age 4 Age 5 (has not been in kindergarten) Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Child 1: T-Shirt Size Youth Extra Small (2-4) Youth Small (Size 6-8) Youth Medium (Size 10-12) Youth Large (Size 14-16) Adult Small Adult Medium Adult Large Adult Extra Large Child 1: SchoolChild 2: NameChild 2: Birth Date Date Format: MM slash DD slash YYYY Child #2 Grade for 2018-2019 School Year Age 3 Age 4 Age 5 (has not been in kindergarten) Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Child 2: SchoolChild #3: NameChild #3: Birth Date Date Format: MM slash DD slash YYYY Child #3 Grade for 2018-2019 School Year Age 3 Age 4 Age 5 (has not been in kindergarten) Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Child #3: SchoolAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Email Other Email Primary PhoneOther PhoneChurch HomeAllergies or Special Needs/ConcernsAnything else you'd lIke to share? This iframe contains the logic required to handle Ajax powered Gravity Forms.
