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431 S Boulevard Edmond, Oklahoma
Hours:
TUES-FRI
10am-5pm
SAT
1-4 PM
Sun-Mon
Closed
FREE ADMISSION
Last Minute Day Camp Form
Edmond Historical Society
>
Last Minute Day Camp Form
Last Minute Day Camp
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
*
1
2
3
4
5
6
7
8
9
10
11
12
Child's Name
*
First
Last
Birthday
*
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Second Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Third Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Fourth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Fifth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Sixth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Seventh Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Eighth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Ninth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Tenth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Eleventh Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
Has this child attended our Summer Camp before?
*
Yes
No
Any allergies?
*
Twelfth Child's Name
*
First
Last
Birthday
*
(Month & Year)
Gender
*
Male
Female
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?
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