Consent to Share Parent/Caregiver Name * First Name Last Name Email * Please use the same email address provided on the camp application. Child's Name * First Name Last Name By enrolling my child in Rooted in Play’s Spring Break Camp, I consent to Rooted in Play sharing both my child’s and my demographic information with the Children’s Board of Hillsborough County for grant reporting purposes. This information is required for participation, as the Children's Board is the grant funder for this camp. My information will not be shared with anyone else. Providing this data helps ensure continued funding for programs like this, keeping play opportunities accessible to our community. * By typing my name in the text box below, I acknowledge that this serves as my electronic signature and agreement to the above statement. Thank you!
