New Castle Island August 15 – 18 Child's Name(required) Child's Date of Birth(required) Parent/Guardian Name(required) Email(required) Phone Number(required) Alternate Phone Number Care Card Number(required) Family Doctor(required) #1 Emergency Contact Name(required) #1 Emergency Contact Phone Number(required) #2 Emergency Contact Name #2 Emergency Contact Phone Number Medications Allergies Any Other Health Problems? By clicking here, I give permission for this child to receive medical treatment if necessary.(required) Is there anything else we should be aware of regarding your child? Signature(required) Send Δ Share this:PrintEmailFacebookTwitterMoreTumblrPocketRedditLinkedInPinterest
