Science Olympiad Camp
Are you signing up for the full day or half day?
Parent/Guardian Name #1
Parent/Guardian Name #2
Alternate Phone 2
Emergency Contact name
Emergency Contact Relationship
Contact Preferred Phone
Contact alternate Phone
Please write the full names and phone numbers of AUTHORIZED persons allowed to pick up your child
Please write the full names of persons NOT AUTHORIZED or allowed to pick up your child
List any allergies, food, medication or otherwise
Is your child currently on medication?
Will child bring medication to camp? If so be sure to complete the medication policy form in person at the Plainsboro Township Department of Recreation and Community Services
Should staff be aware of any physical disabilities, limitations, or restrictions that would affect participation in general camp activities?
If so, please describe
Is your child arriving from pre camp care?
Is your child arriving from pre camp care every day?
Please list the days your child is arriving from pre camp care
Will your child be going to post camp care?
Photos may be taken to be used by Plainsboro Township, Plainsboro Academic Camps LLC, or invited media, in print and/or electronic media. I give permission for such photos of my child to be used
Does your child wear a youth or adult sized T-Shirt?
Please check size
Summer Camp Waiver
I have read and agree to the above waiver