Edmond History Museum

Parent Name*

First Last

Parent Phone*

Parent Email*

Emergency Contact Person (other than parent listed above)*

First Last

Emergency Contact Phone Number*

Children's Information

Number of Children Registering*

Child's Name*

First Last

Birthday*

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Second Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Third Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Fourth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Fifth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Sixth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Seventh Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Eighth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Ninth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Tenth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Eleventh Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

Twelfth Child's Name*

First Last

Birthday*

(Month & Year)

Gender*

Has this child attended our Summer Camp before?*

Yes
No

Any allergies?*

For summer camp, we divide the campers into groups. Is there anyone attending your child would like to be in the same group with?

Wayback Wednesday Camp

Children's Information