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Virtual Fun-Day Event Registration Information
Camper Information
*
First Name
Last Name
School Grade
Age
Attendee #1
First Name
Last Name
School Grade
Age
Are you registering another attendee?
*
Yes
No
Camper Information
*
First Name
Last Name
School Grade
Age
Attendee #2
First Name
Last Name
School Grade
Age
Are you registering another attendee?
*
Yes
No
Camper Information
*
First Name
Last Name
School Grade
Age
Attendee #3
First Name
Last Name
School Grade
Age
Are you registering another attendee?
*
Yes
No
Camper Information
*
First Name
Last Name
School Grade
Age
Attendee #4
First Name
Last Name
School Grade
Age
Are you registering another attendee?
*
Yes
No
Camper Information
*
First Name
Last Name
School Grade
Age
Attendee #5
First Name
Last Name
School Grade
Age
Languages spoken/read at home
*
English
Spanish
Arabic
Chinese (Mandarin, Cantonese, Hokkien, etc.)
Tagalog
Vietnamese
Russian
French/French Creole
Korean
Other
Have you attended a Sunrise/Horizon/Aurora Day Camp before?
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Yes
No
Which Sunrise Association Camp have you previously attended?
*
Aurora - Atlanta
Chicago
Greater Philadelphia
Long Island
Pearl River
Staten Island
SunriseVX (Virtual Camp)
Horizon - Baltimore
Horizon - Metro DC
Primary Hospital Name
*
Primary Hospital Location
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Canada
Other
Please specify:
*
Were you referred by another camp?
*
Yes
No
What is the name of the camp?
*
Parent/Guardian First name
*
Parent/Guardian Last name
*
Email Address
*
Phone Number
*
How did you hear about this event?
*
Family/Friends
Another Sunrise Association Camp
Instagram
Facebook Support Groups
Hospital Staff
Brochures/Flyers in Hospital
Internet Search
Another non-Sunrise Camp
Other
If other, please specify:
*
Name of Instagram account?
Name of support group?
Name of Hospital staff member?
If other, please explain:
*
Questions & Permissions
Do you have any questions or concerns?
Your presence is important to us! In order to ensure an inclusive virtual experience for all participants, please let us know if you have any specific accessibility needs or requirements.
Are you interested in learning more about our other virtual programs, such as our 8-week virtual summer camp and other monthly year-round events?
*
Yes
No
Maybe
Have you heard about our SunriseVX TV Show, shown on the Sunrise Association YouTube channel and the Sunrise Studios app?
*
Yes
No
Would you like to learn more about our SunriseVX TV Show?
*
Yes
No
Maybe
I acknowledge and accept that my child(ren)/family may be participating in video activities and webinars that may include them being seen and heard on a webcam over the internet.
*
Yes
I acknowledge and accept that SunriseVX/Sunrise Association will be using a third-party platform like Zoom to facilitate video sessions and I agree that Sunrise VX/Sunrise Association assumes no liability for any performance issues with Zoom or any other third-party software.
*
Yes
I will encourage my child(ren) to follow appropriate online conduct as explained to them or risk losing privileges to participate.
*
Yes
I acknowledge and accept that others may see our home environment during live sessions.
*
Yes
By allowing your child to participate in our virtual program, you are granting Sunrise Association Camps the right to use such images and/or recordings.I acknowledge and accept that virtual camp program sessions may be recorded from time to time, and that all or portions of such recordings/images may be used for purposes including but not limited to sharing with children and families, staff and/or potential staff, teaching and training, and/or marketing/fundraising.
*
Yes
These authorizations are limited to the date signed below through July 1st of the following year. By signing below, I agree to signing this release and the items as initialed above
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