Contact Name Relationship to Camper
Camper's First/Last Name
Address
Start Date: June 27, 2022 | End Date: August 10, 2022
Site Name:
Parent/Guardian Name
Home Phone Cell Phone
Work Phone Email
Home Phone Cell Phone Work Phone
Camper's Age
Please print all information clearly
Date of Birth
City, State
Zip Code
Phone
Grade Entering Fall 2022
Gender
Sibling(s) (if applicable)
Date of Birth
All Mandatory Forms MUST be completed prior to admission to the camp. Your child must be a resident of the
District of Columbia and proof of residency and camper's age is REQUIRED!!
*** NOTE: If you have more than one child that will be attending camp, you must fill out a form for EACH child.
The following Mandatory forms are required. These forms must be completed, dated and returned. Complete
Registration Application, Eligibility Questionnaire, Complete Family Profile and Complete Health
information Form.
Parent Signature: Date:
EP2 Staff Signature: Date:
(Please complete ALL Education Plus 2 documents in this packet)
WARDMAN COURT OVERLOOK AT OXON RUN
OFFICE USE ONLY:
Eligibility Questionnaire APPLICANT IS ELIGIBLE PROOF of Residency Proof of Age Police Clearance
Pick Up/Dissmissal Form Consent Form Health Form Family Pre-Test Camper Pre-Test
Female Male
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