Step #1: Registration Form November Mini CampSign Up 1st Child Name * First Name Last Name 1st Child Birthday and Current Grade * 2nd Child Name 2nd Child Birthday and Current Grade 3rd Child Name 3rd Child Birthday and Current Grade Parent or Primary Caregiver Name * Email * Phone * (###) ### #### Parent or Primary Caregiver Name Would you like your preschooler to nap from 12:45 PM - 1:45 PM? From time to time, students may participate in baking activities or be offered additional snacks provided by the school. These snacks may include common ingredients such as dairy, eggs, wheat, or other allergens. Do you consent to this? Please write yes or no Does your child have any allergies or food restrictions? * Does your child have any health condition or medication that the school should be aware of? (i.e an inhaler, EpiPen, insulin etc.) * Family or friends who may pick up your child (required) Please write their full name * How did you hear about us? Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Acknowledgement of Terms * I ACKNOWLEDGE that a completed Consent for Emergency Medical Treatment (LIC627) for the child(ren) listed above must be filed with Monica Ros before the start of camp. I ACKNOWLEDGE that a completed Emergency Contact Form (LIC700) for the child(ren) listed above must be filed with Monica Ros before the start of camp. I ACKNOWLEDGE that I have received and read the Monica Ros Camp Handbook. I understand and agree to abide by the policies outlined within, including the behavioral expectations for all campers. I further acknowledge and agree that, should my child be unable to meet the behavioral requirements set forth by the camp, I (or an authorized emergency contact) will promptly pick up my child if requested by the camp administration. If you are not automatically forwarded to payment, you can also click here.