Girl’s Basketball Camp Registration

Girl's Basketball camp registration

Child's Name(Required)
Address(Required)
Parent's Name(Required)
MM slash DD slash YYYY
Current Grade(Required)
Have you, your child, or anyone else in your household been exposed to COVID-19 in the past 14 days?(Required)
Have you, your child, or anyone else in your household displayed any symptoms of COVID-19 in the last 14 days?(Required)
Have you, your child, or anyone else in your household been to a high risk area in the last 14 days?(Required)
Have you, your child, or anyone else in your household traveled outside of the country in the last 14 days?(Required)
Has your child ever attended Jonestown Montessori School?(Required)
If not, are you willing to provide a copy of your child's immunization record?(Required)
Max. file size: 100 MB.

Emergency Contact

MM slash DD slash YYYY