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TMA Dalton Summer Camps
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Parent / Guardian Information:
Relation to Child
*
Parent / Guardian Name
*
First
Last
Phone
*
Text Messaging
Recieve Text
Email
*
Additional Emergency Contacts:
These listed emergency contacts will also be authorized to pickup your child / children from camp.
Contact Name
First
Last
Phone Number
Add Contact 1
Add another emergency contact?
Contact Name
*
First
Last
Phone Number
*
Add Contact 2
Add another emergency contact?
Contact Name
*
First
Last
Phone Number
*
Add Contact 3
Add another emergency contact?
Contact Name
*
First
Last
Phone Number
*
Child Information
Child's Name
*
First
Last
Age
*
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Allergies / Medical Concerns:
*
Yes
None
Allergies:
Current Medications:
Medical Conditions:
Camp Meds
Medication to be given during camp
Dosage instructions: (name of medication, days, times and dosage for each medication needed)
Camp Information
Spring Break Camp
*
Not Attending
Full Week
Daily
Daily Registration for Spring Break Camp:
Monday
Tuesday
Wednesday
Thursday
Friday
Summer Camp Registration
*
Not Attending
Weekly
Daily
Combined
Weekly Registration:
May 26th
Weekly Registration: 2
June 1st
Weekly Registration: 3
June 8th
Weekly Registration: 4
June 15th
Weekly Registration: 5
June 22nd
Weekly Registration: 6
June 29th
Weekly Registration: 7
July 6th
Weekly Registration: 8
July 13th
Weekly Registration: 9
July 20th
Weekly Registration: 10
July 27th
Weekly Registration: 11
August 3rd
Daily Registration for Week of: May 26th
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: June 1st
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: June 8th
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: June 15th
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: June 22nd
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: June 29th
Monday
Tuesday
Wednesday
Thursday
Daily Registration for Week of: July 6th
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: July 13th
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: July 20th
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: July 27th
Monday
Tuesday
Wednesday
Thursday
Friday
Daily Registration for Week of: August 3rd
Monday
Tuesday
One Time Summer Camp Registration Fee
*
Price:
$20.00
Card Information
*
Card
Name on Card
Submit