Date of Birth
If you have any comments on your child (e.g. particular areas of interest, behavior patterns) that would help make "Camp Smile" more enjoyable, please indicate them below.
Provide information of at least one parent/guardian.
You must provide a back-up Emergency Contact unless there are multiple parents / guardians listed in the previous section.
Does your child require bus transportation to and from camp?
Provide contact and pick up/drop off information below.
