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Pinecrest Pavilion - Summer 2025
-This form is one per
student
, not one per family.
-Please type N/A if not applicable.
-Once you click "Submit," the form is no longer accessible to you and cannot be edited.
Camper Information
Camper's First Name
*
Camper's Middle Name
Camper's Last Name
*
First Name, (if different) to be used at Camp.
Gender
*
Date of Birth (month/day/year)
*
+
Grade in 2025-26
*
Prekindergarten (4 - 5yrs)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th or above
To attend the pre-kindergarten camp your child must have either attended Pinecrest's preschool class in the current school year
or
attended a preschool elsewhere,
and
your child will be 4 years old by 9/30/2025. Additionally, all pre-kindergarten campers
must be fully potty trained
.
Street Address
*
City
*
State
*
MD
VA
DC
Zip Code
*
With which race/ethnicity does your child identify?
*
African American or Black
Native American or Alaska Native
Asian American or Asian
Hispanic or Latinx
Middle Eastern or North African
Pacific Islander
White or Caucasian
Prefer not to answer
The School recognizes that the identities listed above may not encompass every identity. Please use this space to self-identify or if you are interested in sharing more. (This is not a required question.)