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Please select one:
Mr.
Mrs.
Ms.
Dr.
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Parent Full Name
Parent Phone
Parent Email Address
Camper Full Name
Camper Date of Birth
Camper School Grade
Camper Gender
female
male
Program/Camp Attended
Length of Session
First Time Camper?
yes
no
Did anyone else attend this program along with your child?
yes
no
If yes, who attended?
Did the program/camp meet your expectations? Please explain.
What was your impression of the facilities?
What was your impression of the staff?
What was your impression of the camp/program?
Additional feedback, comment, complaints, compliments?
Overall, did your child have a positive experience?
yes
no
Do you plan to have your child attend the same camp/program next year?
yes
no
Please list out the names of any siblings who will attend the same program next year.
Would you like for us to call you to help plan for next summer?
yes
no
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