Summer Forms – Communication

Name (Child)*

First Last

Select the weeks your child will be with us at Day Camp*

Select the session dates your child will be with us at Overnight Camp:*

June 26th - July 3rd
July 5th - July 17th
Not attending overnight camp

Select the session dates your child will be with us at Earth Skills Camp:*

June 26th - July 3rd
July 3rd - July 10th
Not attending Earth Skills Camp

Please indicate the names & phone numbers of parents / guardians and others:

Primary Contact:

Name (Parent/Guardian) - primary*

First Last

Relationship*

Email (parent/guardian) - primary*

Cell Phone*

Secondary Contact:

Name (Parent/Guardian) - secondary

First Last

Relationship

Email (parent/guardian) - secondary

Cell Phone

Additional / Emergency Contacts (please provide two):

Contact #1

Name (Emerg #1)*

First Last

Relationship*

Email*

Cell Phone*

Contact #2

Name (Emerg #2)*

First Last

Relationship*

Email*

Cell Phone*

Communication Choice

We will be using the Remind phone application to send parents updates about pick up/drop off changes and severe weather warnings. Please select one of the following options:*

I wish to receive Remind updates to the cell phone number of the primary contact
I DO NOT wish to receive Remind updates to the cell phone number of the primary contact

I am interested in creating a carpool for my child. For the safety of the families involved, we recommend wearing masks in the car and limiting carpools to two households.*

(by saying yes, you are agreeing to have Pearlstone share your contact information)

Yes, I'm interested
No Thank You

If yes, Please list names of children with whom you might like to carpool.*

(Like traditional bunk requests, these must be requested by both families)

Parent Communication Form

Parent Communication Form

Please indicate the names & phone numbers of parents / guardians and others:

Primary Contact:

Secondary Contact:

Additional / Emergency Contacts (please provide two):

Communication Choice