© 2017  Golden Gate Boys Choir and Bellringers

BUILDING BRIDGES OF UNDERSTANDING THROUGH MUSIC SINCE 1988

Golden Gate Boys Choir and Bellringers

Summer Camp Registration Form

 

Mail registration form to:

480 Larchmont Street
Hayward, CA 94544

Email registration form to:  

ggbcbr@aol.com


2019 SUMMER MUSIC CAMP REGISTRATION FORM

Please complete and return this form to the choir office BEFORE:  June 28, 2019

 

 

Camper Information 

Camper's Name 

_______________________________________________________________________________________________

Last Name,   First Name,    Middle Name 

Camper Year (1st, 2nd, etc.) ________________
Junior Counselor Year (if applicable) ________________ 

Address 

________________________________________________________________________________________________ Number / Street 

_____________________________________________________________________________ _____________________

City / Zip Code 

 

School Grade Next Fall : ___________________________ 

 

Birth Date:_____________/______/__________

 

 

Parent / Guardian Information 

Home Phone / Work Phone – 

Father/Guardian (home)_____________________________________(work)______________________________ (mobile) ____________________________________ 

Mother/Guardian (home)____________________________ (work)_________________________ (mobile) _____________________________________ 

If you expect to be at a different address or phone during the camp session, indicate dates: ___________________________________________________________  

Please give address and phone where you can be reached during the above period: Address:________________________________ City/Zip___________
Cell Phone ( ) _______________ E-mail address: _____________________________________ 

 

 

Camper's Travel Inquiry 

 

Has your boy ever been away from home or family for more than one week? ________ If yes, for how long? ______________ When? ________________________________________________
Reason _________________________________________________________________

Please explain how the experience was pleasant or unpleasant _____________________________________________________________________________ _____________________________________________________________________________ 

 

 

Camper's Skills, Abilities, and Needs 

 

Please indicate the camper's skills in:
Swimming: ____________________________________________________________________ 

Sports: _______________________________________________________________________

Camping & Backpacking _________________________________________________________ 

Indicate your boy's special interests: ________________________________________________

Hobbies: ______________________________________________________________________

Abilities: ______________________________________________________________________

Special Problems and Needs: 

_____________________________________________________________________________

_____________________________________________________________________________

 

Permission to Attend Summer Camp

My son has permission to attend the Golden Gate Boys Choir and Bellringers Summer Music Camp and to participate in the camp program and activities. In an emergency, when I cannot be reached by telephone, the Camp Director and/or the Artistic Director may take whatever action may deem necessary for the safety of my son. 

 

Signed:________________________________________________________________

Relationship___________________________________Date______________________ 

 

Signed:_________________________________________________________________ Relationship__________________________________ Date_______________________