Oakbourne Camp Registration Form
Summer 2022
Child #1 Name:
*
First Name
Last Name
Child #1 Birth Date:
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
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Day
2022
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #2 Name:
First Name
Last Name
Child #2 Birth Date:
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Desired Name Tag:
Nickname(s)
Child #1 Camp shirt size:
*
Youth Small
Youth Medium
Youth Large
Adult Small
Child #2 Camp shirt size:
Youth Small
Youth Medium
Youth Large
Adult Small
Please, provide any information regarding your child we need to know such as sports experience, allergies, fears, etc.
*
How did you hear about our Camp?:
*
Attended in the past
Friend Referral
Email
Facebook
Others
School Information
School Name
*
Family Information
Mother's Name:
*
First Name
Last Name
Father's Name:
*
First Name
Last Name
Emergency Phone Number:
*
-
Area Code
Phone Number
Secondary Emergency Phone Number:
-
Area Code
Phone Number
E-mail Address:
*
Emergency Contact Information
Emergency Contact Name:
*
First Name
Last Name
Emergency Contact Phone Number:
*
-
Area Code
Phone Number
Relationship to Student:
*
Your Reason For Attending This Camp
By filling this section, you are helping us improve the experience of our camp.
In 300 words or less, please describe your reasons for wishing to attend this camp.
0/300
Camp Options: (The current prices will be available until April 30th)
*
prev
next
( X )
Week 1: June 6-10 (OCC Members only)
$
224.00
This option also applies to Grandchildren of Oakbourne members.
Quantity
1
2
3
4
5
6
7
8
9
10
Week 1: June 6-10 (Non-Members)
$
244.00
Quantity
1
2
3
4
5
6
7
8
9
10
Week 2: June 20-24 (OCC Members only)
$
224.00
This option also applies to Grandchildren of Oakbourne members.
Quantity
1
2
3
4
5
6
7
8
9
10
Week 3: July 18-22 (OCC Members only)
$
224.00
This option also applies to Grandchildren of Oakbourne members.
Quantity
1
2
3
4
5
6
7
8
9
10
Week 2: June 20-24 (Non-Members)
$
244.00
Quantity
1
2
3
4
5
6
7
8
9
10
Week 3: July 18-22 (Non-Members) 2
$
244.00
Quantity
1
2
3
4
5
6
7
8
9
10
Enter coupon
Apply
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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