Our 2017 Summer Camp Capri is full to capacity. We invite you to fill out this Wait List form so we can fill openings if and when they become available. If/when an opening occurs, we’ll contact students/parents/caregivers in the order in which Wait List registrations were received. Thank you!

Summer Camp Capri Registration Wait List

    Youth Information











  • Arts Participation

  • Participation Permission/Wait List

  • Photo/Video Permission

  • By checking the box below, I give permission for my child to be photographed and/or videotaped within the context of Camp Capri. I also give permission for PCYC to use any photograph/video segment for the purposes of advancing the mission of the organization.
  • Phone Numbers, Email, Emergency Contact

 

Health Information

    Clinic/Physician Information

  • Medical Information

  • Does your child have:

 

Transportation

 

Please Note

Our 2017 Summer Camp Capri is full to capacity. If/when an opening occurs, we’ll contact students/parents/caregivers in the order in which Wait List registrations were received.

     

    Verification