(TO BE COMPLETED BY PARENTS)

Please help us by completing this confidential questionnaire. This information will be used by the camp administration and your child's counselor to help achieve your goals and expectations and to allow us to have a better understanding of your child. Your child's counselor will take this information and the information your child provides and be able to provide the kind of direction and nuturing in which you and your child are interested.

Choose two of the following which best describe the character development goals for your child's experience at camp this summer.

Please choose three of the items on the following list that would best describe the summer camp opportunities that you expect for your child:

Please check all descriptions that best fit your child: