KIDS SUMMER CAMP 2025
SURVEY
First Name
*
Last Name
*
Email
*
Phone
What week of camp are you registering for?
July 28 - August 1 Nature Exploration
August 4 - 8 Survive in the Wild
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How many children are you registering?
Child's Full Name
*
Child's Age
*
Child's T-Shirt Size
Child's T-Shirt Size
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
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Child's Gender
*
Child's Gender
Male
Female
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2nd Child's Full Name
2nd Child's Age
2nd Child's T-Shirt Size
2nd Child's T-Shirt Size
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
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2nd Child's Gender
2nd Child's Gender
Male
Female
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3rd Child's Full Name
3rd Child's Age
3rd Child's T-Shirt Size
3rd Child's T-Shirt Size
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
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3rd Child's Gender
3rd Child's Gender
Male
Female
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Adults Authorized to Pick-up your Child/Children
Does your child/children have any allergies or medical conditions that we need to know?
Please include Health Insurance Information including provider, group number, policy number, and primary insurance holder name for Child/Children.
Do you give permission for camp staff to seek emergency medical treatment for your child if necessary?
*
Do you give permission for camp staff to seek emergency medical treatment for your child if necessary?
Yes
No
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Do you authorize camp staff to take and use photos/videos of your child for promotional purposes, including social media or camp materials?
*
Do you authorize camp staff to take and use photos/videos of your child for promotional purposes, including social media or camp materials?
Yes
No
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Do you acknowledge the inherent risks of camp activities and agree not to hold the camp liable for any injuries sustained during camp?
*
Do you acknowledge the inherent risks of camp activities and agree not to hold the camp liable for any injuries sustained during camp?
Yes
No
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Do you agree to ensure your child follows the camp’s behavior guidelines and understand the consequences of not adhering to them?
*
Do you agree to ensure your child follows the camp’s behavior guidelines and understand the consequences of not adhering to them?
Yes
No
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Parent Signature
*
Clear
Text Message Opt-In
I agree to receive Automated Reminders and Service Based messages from Apogee Gahanna, at the phone number provided above. This agreement isn't a condition of any purchase, Msg & data rates may apply, message frequencies vary. Text HELP for assistance, reply STOP or OUT to opt out or unsubscribe at any time.
I agree to receive Marketing and Promotional messages from Apogee Gahanna at the phone number provided above. This agreement isn't a condition of any purchase. Msg & data rates may apply, message frequencies vary. Text HELP for assistance, reply STOP or OUT to opt out or to unsubscribe at any time.
Apogee Gahanna Est. 2025