Summer Camper Information Request ** Please ensure that you provide two emergency contacts that are different from the one listed under your account. Please enable JavaScript in your browser to complete this form.Participant Name *FirstLastCamp Location *Paine's ParkSkate The Foundry, West PhillySkate The Foundry, Elkins ParkLansdaleMiddletownUpper ProvidenceSibling's Name (if a sibling is also signed up for the camp)FirstLastOnly if a sibling is also participating the program.Parent/Guardian Name *FirstLastParent/Guardian Phone *Emergency Contact 1 Name - MUST BE DIFFERENT FROM ABOVE *Emergency Phone Number 1 *Emergency Contact 2 Name - MUST BE DIFFERENT FROM ABOVE *Emergency Phone Number 2 *Does your child have any allergies that we need to be aware of? (Food allergies, bee allergies, etc.) *Are there any additional special needs or health conditions we should be aware of regarding your child? (e.g., asthma, medical conditions, behavioral considerations) *Will your child bring any special equipment or medication to the camp? (EpiPen, medication, etc.) *PhoneSubmit
