Austin Sunshine Camps

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Application to attend Sunshine Camp at Zilker Park - 2010

We are no longer accepting applications for 2010. We appreciate your interest and encourage you to check back next year.

Child's First Name*
Child's Last Name*
Child's Sex*
AISD Student #
Address 1*
Address 2
City*
Zip*
State*
Phone*
Date of Birth*
     
Grade*
Age (as of June 1, 2009)*
Name of School Attending*
Please Select Racial/Ethnic Group*

Please check your child in at the Austin YMBL Sunshine Camps located in Zilker Park.

If you are unable to come to check in at the Sunshine Camps, please choose from the list of check in sites below.*
Primary Guardian’s Name*
Primary Guardian’s Employer
Primary Guardian’s Work Phone*
Primary Guardian’s Mobile/Pager
Secondary Guardian’s Name
Secondary Guardian’s Employer
Secondary Guardian’s Work Phone
Secondary Guardian’s Mobile/Pager

In the case of an emergency, we will contact the guardian first. However, in the event that the guardian is unavailable, we need an alternate emergency contact. Please list below.:

Name*
Employer*
Work Ph.*
Relationship to Camper*
Mobile/Pager Ph.*
Number of Parents Living at Home*
Do You Receive Sevices Such as Food Stamps or AFDC?*
Foster Child?*
Food Stamp Case #
AFDC Case #
Please Indicate Family Income Range*
Social Security Number of Head of Household
If your child has attended Sunshine Camps before, please select how many times
Number of Brothers/Sisters Living at home:*

Session Preference:

1st Choice
2nd Choice

Name, Age, Gender and Application No. of any brothers or sisters who are also applying to attend camp. Their application number is in the top right corner of their application in red numbers. Listing brothers and sisters here is not an application for camp for your brother and sister. Please enter one sibling per line.

Does the Family get together on family outings?*
Describe any physical condition that may require special care:*
Describe any food or medication allergies:*
List any medications that your child takes, including schedule and special instructions:*
Describe any emotional condition, or physical behavior that may require special care:*
How did you hear about this application?
Your Email Address*

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