Day Camp – November 16

$55.00

About the Baker
Baker's Name*
First Last
Baker's Birthday*
Baker's Grade Level*
Baker's Gender*
Responsible Adult Information
Responsible Adult Name*
First Last
Responsible Adult Relationship to Baker*
Email*
Phone*
Emergency Contact Information
Emergency Contact Name*
First Last
Emergency Contact Relationship to Baker*
Emergency Contact Phone*
Physician Information
Physician Name*
Physician Phone*
Other Information
Does your child have any food allergies and provide severity (do you need to provide an EPI pen, diabetic monitoring, etc.)?*
- Yes
- No
Please tell us how The Flour Shop Bakery staff needs to follow through.
Does your child need to be given any medication during their time at The Flour Shop Bakery?*
- Yes
- No
Please explain
Does your child need any special attention (from our staff) to provide additional one-to one interaction? Is there any behavioral information about your child we should know about?*
- Yes
- No
Please provide that information and our staff will follow-up with a phone call to discuss details so that we may provide the most positive experience for your child.
How did you hear about The Flour Shop camp?*
I agree to the terms and conditions for The Flour Shop Bakery camps.*
Click here to view the Terms & Conditions
- I agree
Summer Day Camp
Total
$0.00

Category: Events

About the Baker