Please check the camp(s) for which you are applying. Please send your child to camp with a healthy packed lunch clearly labeled with your child's name: Into The Woods Camp - June 9 through June 13th, 9:00am to 1:00pm (ages two to going into first grade) Earth Camp - June 16th through June 20th, 9:000am to 1:00pm (ages two to going into first grade) Peace Out Camp - June 23rd through June 27th 9:000am to 1:00pm (ages two to five years) Peace Out Camp Parent's Morning Out - June 23rd through June 27th 9:000am to 1:00pm (ages one and under) Culture Camp - June 23rd through June 27th 9:000am to 1:00pm (ages six to eleven years)
Child's Street Address: City: State: Zip:
General and Emergency Contact Information: Parent (1) Name: Parent (1) Email: Parent (1) Phone Numbers: Home: Cell: Work: Name of Employer: Occupation: Parent (2) Name: Parent (2) Phone Numbers: Home: Cell: Work: Name of Employer: Occupation:
If parent (2)'s address is different from the child's, please note here: Street Address: City: State: Zip:
Child's previous school experience:
Does your child have any special diet restrictions:
Are there any issues that we should be made aware of so that we can make sure we can meet your child's needs:
Registration forms must be submitted with the $100 registration fee (per camp) to be complete. Please make checks payable to UUCA with the name of the camp(s) in the memo line. Please mail fee to: ATTN: Alicia Karpic/UUCA Summer Camps Director 1911 Cliff VAlley Way NE Atlanta, GA 30329 or place in the mailbox in the UUCA office marked Alicia Karpick
The Unitarian Universalist Congregation of Atlanta seeks to foster a climate of purposful inclusion of all regardless of gender, age, race, ethnicity, national origin, disability, sexual orientation, gender identity, or expression.
