Summer Camp Form

Summer Camp Form 2021
Please answer a few quick questions so we have all necessary info on hand during camp.

* Indicates required field

Parent's Name *

First

Last

Phone Number *

Email *

Participant's Name *

First

Last

Participants' Age *

Are there any siblings, relatives, or friends in the camp that your child is allowed to be close to without social distancing? *

No Yes

If yes, please list name(s): *

Health Concerns *

Pick-up *

How did you find out about Yoga Rascals Summer Camp *

Yoga Rascals La Mesa Community Center Friend Other

If other, please specify: *

Submit