Enrolled Camper Form 2025 - Cape Elizabeth Community Services

Child's Last Name *

Child's First Name *

Child's Grade (going into as of Fall 2025) *

Child's Tee Shirt Size

Name of Contact Parent /Guardian *

First

Last

Primary Contact Email *

Primary Emergency Contact Number *

Swim Level *

Non-swimmer. May demonstrate paddling, kicking, or fear of water. Wears flotation device.
Beginner. Demonstrates forward motion on back or front without floatation device.
Intermediate. Able to swim length of pool, proficient stroke skills.

After Camp Plan, note that campers will not be allowed to go home with other families *

Does the child have any Allergies, Medical Conditions *

List or Describe Allergies, Medical Conditions or Special Needs/ IEP?

Does the child have any Special Needs/ IEP/Behavioral tendencies? *

Please let us know so can better assist your child at camp. *