Camper Profile Form

Please complete the form below to tell us about your camper.

Email*:

Camp*:

Session*:

CIT Full (June 21 - Aug 11)
Session 1 Full (June 23 - July 19)
Session 2 Full (July 22 - Aug 11)
Session 1 Short (June 23 - July 5)
Session 2 Short (July 7 - July 19)
Session 1 Rookie (July 22 - July 28)
Session 2 Rookie (July 29- Aug 4)

Camper First Name*:

Camper Last Name*:

Camper Nickname:

Grade Entering This Year*:

Date of Birth*:

What summer is this at
Airy/Louise for your camper*:

Age While at Camp:

Has your child ever slept away from home before?*

Was this at a family member's house or a friend's house?

Did you child have problems sleeping away from home?*

If yes, please explain.

You have characters left.

Does your child sleepwalk or talk in his/her sleep?*

If so, what do you do for this at home?

You have characters left.

Check if your champer has been to other camps:

If yes, type of Camp:

Was it a positive experience?

You have characters left.

Please elaborate if you wish:

You have characters left.

Medical/Diet Information Counselor Should be Aware of:
(Wears glasses, allergies, won't eat, can't eat, takes medicine - regularly / as needed and for what purpose, needs to wear hat / sunscreen always, etc.)

You have characters left.

If available, camp has my permission to apply sunscreen to my camper:

The best way to describe my camper's personality is:
(Outgoing, Shy, Quiet, Loud, A Leader,A Follower, Warm, Withdrawn, etc)

You have characters left.

My Camper makes friends:

My Camper is: about going to camp.

You have characters left.

Please use the following space to elaborate on the above sentence if you feel it needs additional explanation:

You have characters left.

I'd like to share the following to help you help my camper enjoy his/her summer to the maximum: (illness at home, may miss pet at home, recent family issues/losses, family situation - divorce / seperation, sibling concerns, family vacation plans, etc.)

You have characters left.

Camper Hobbies:

You have characters left.

Pets:

You have characters left.

Siblings/Friends at Camp:

You have characters left.

Favorite Food(s):

You have characters left.

Favorite TV Show(s):

You have characters left.

Favorite Entertainer/Sports Figure(s):

You have characters left.

What I'd really like to see as a result of my camper's stay at camp is:

You have characters left.

The main thing my camper would like to get out of this summer's experience is:

You have characters left.

If your camper has a bar or bat mitzvah date scheduled, please indicate the date and synagogue or other venue:

You have characters left.

Please feel free to use this space for any additional comments:

You have characters left.

$1,000 Tuition Incentive for Full Sessions

Camper Profile Form

Follow our Social Feeds!