* Required

Camper Information

Name child would prefer to be known as (if different from first name)​

Parent Information

(###)###-####​
Parent/Guardian email​
Would you like to add information for an additional parent or guardian?​
(###)###-####​
Parent/Guardian email​​

Medical Information

In case of emergency, this person can be called.​​
Emerg​ency contact's relationship to camper​
(###)###-####​





If no allergies, type N/A​
Use this area to describe the allergies in more detail (hives, swelling, etc.)​​
Any medical issue of which camp staff should be aware (seizures, serious illnesses, physical limitations, allergies to medications, non-life-threatening allergies, etc.).​​​​

NOTE: A Doctor's Health Form will be required of all campers prior to commencement of the camp.

Parent Questionnaire

How would you assess your child's major strengths?​​​
How would you assess your child's greatest academic need(s)?​​
What outside interests does your child have?​
Describe your child's relationships with peers and/or other family members:​

May we use photographs of your child participating in Odyssey Summer Camp activities?​​​​

Please provide an email address where we can send a link to your current form.

Email Address :