2025 Summer Day Camp Registration Form

Day Camp Registration Form
Camp Information

Please select which camp week(s) your child will be attending.
Select Camp(s) Week
Camper's Information

Personal, Health & Contact
Camper Name

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age (at time of camp)
Phone Number

Area CodePhone Number
Email
example@example.com
T-shirt Size:
List Any Medical Conditions that camp should be aware of, for example.... Allergies, food sensitivities, Epi-pen, ADHD, physical disabilities, emotional problems, mental health issues, learning disabilities, or anything special we need to know about your child)
Medications Required at Camp & Frequency **Please note staff cannot administer medication. We will store in a designated area and remind your child to take according to written instructions. Staff are not responsible for "missed doses" but will do their best to avoid this situation
Camper Health Card Number, in case of emergency
Parent / Guardian Information

(All correspondence and invoices will be sent to this person)
Name

First NameLast Name
Email
example@example.com
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Address (if different from above)

Street Address

Street Address Line 2

CityProvince

Postal Code
Relationship with the Camper
Emergency Contacts and Authorized Pick Up Persons
Cost Per Camp $325, taxes included

Non-Refundable deposit of $100 required at booking, remaining balance require in full one week before commencement of camp or spot will be lost.
Deposit Payment Type
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
All information collected on this for is strictly for

the purpose of H&H Ranch camp registration.

No information will sold or distributed.
Should be Empty:

Day Camp Registration Form

Camp Information

Camper's Information

Parent / Guardian Information