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Questionnaire template

Summer Camp Registration

Registration form for parents enrolling a child in summer camp: session, health and emergency details, and activity interests.

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Questions in this template

About the Camper

  1. Thank you for signing your child up for summer camp. The details below help us place your child in the right group and plan a safe, enjoyable stay.

  2. What is the camper's full name?

    Open answer

  3. How old is the camper?

    A number from 4 to 17

  4. Which camp session would you like to book?

    Choose one:

    • Session 1 (early June)
    • Session 2 (late June)
    • Session 3 (early July)
    • Session 4 (late July)

  5. What is the camper's gender?

    Choose one:

    • Male
    • Female
    • Non-binary
    • Prefer not to say

Health and Safety

  1. Does the camper have any allergies?

    Choose one:

    • Yes
    • No

  2. Please list the allergies and describe any reactions or treatment we should know about.

    Condition: Shown when the camper has allergies

    Open answer

  3. Does the camper have a medical condition or need any special support or adjustments?

    Choose one:

    • Yes
    • No

  4. Please describe the condition or the support the camper needs.

    Condition: Shown when the camper has medical or support needs

    Open answer

  5. Who should we contact in an emergency?

    Open answer

  6. What is the emergency contact's phone number?

    Open answer

Interests and Preferences

  1. Which kinds of activities does the camper enjoy?

    Choose any that apply:

    • Arts and crafts
    • Sports
    • Drama
    • Music
    • Science and nature
    • Swimming
    • Outdoor adventure

  2. How interested would the camper be in each of these activities?

    • Cooking
    • Team sports such as football or basketball
    • Individual sports such as gymnastics or tennis
    • Creative writing
    • Robotics

    For each row: choose one:

    • 1 - Not interested
    • 2
    • 3
    • 4
    • 5 - Very interested

  3. Does the camper tend to prefer group or individual activities?

    Choose one:

    • Group activities
    • Individual activities
    • A mix of both

Additional Information

  1. Is there anything else our staff should know to help the camper settle in and have a good time?

    Open answer

  2. How did you find out about the camp?

    Choose one from a list:

    • Social media
    • Friends or family
    • School
    • Local advertising
    • Other

  3. Where else did you hear about us?

    Condition: Shown when 'Other' was selected

    Open answer