Winter Adventure Camp Registration Form

Winter Adventure Day Camp Registration

Fill out the form carefully for registration
Student Name *

First Name Last Name
Grade *

3rd Grade 4th Grade 5th Grade
Parent Name(s) *

First Name(s) Last Name
Family Email for Confirmation *
Parent Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Please enter a valid phone number.
Camp Attending *

Friday, February 26 @ 1 PM-4 PM (Cold Springs Park-Lewis) Camp in a Bag Only
Is your child in 4-H? *

Yes- No Medical Release Form Required No-Medical Release Form Required (download/print below)
4-H Medical Release Form (Required for Non-4-H Members)
Additional Comments
Should be Empty:

Winter Adventure Day Camp Registration