Summer Camp Capri Registration

    Youth Information

  • Arts Participation

  • Participation Permission

  • 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: