In a few weeks, your child will be living in a cabin or tent with other campers
the same age. We want to encourage each camper's growth to the fullest. We
need your cooperation. To help the counselor, please fill out the questionnaire,
and return it promptly to the camp registrar. If there is anything confidential
which you would not want kept in the camp files, please attach a note.
Name of Camper
Has your child been to camp before?Where?
When?If not, has your child been away from home alone more than two days?
Who lives in the home with your child?
FatherOccupation
MotherOccupation
GuardianRelationship
Occupation
BrothersOlder
Younger
SistersOlder
Younger
What responsibilities does your child carry at home?
What personality traits would describe your child? (shy, outgoing, cheerful, strong-willed, sensitive, calm,
easygoing, restless, alert, moody, aggressive, etc.)
What are your child's greatest interests?
Does your child like school?
How do you want your child to benefit from camp?
Physically:
Socially:
Spiritually/emotionally:
Any special facts we should know in order to better understand and help your child? (allergic, handicapped,
enuretic, learning disabilities, hypertensive, etc.)