Camp Registration Form

Camp Registration Form

Thanks for signing up for CTMS Esteem Building Camp. To book for a place in the camp, you must complete the form below accurately. Students must currently be in grades 5-8. Camp enrollment is from June 28-July 29, 2022, Monday - Thursday 10a.m.- 3p.m. lunch and snacks are provided. The cost of camp is $100 a week per child and $175 (2 children) $75 per additional child. Someone will contact you to schedule orientation on or before the week of June 13, 2022.
Child #1 Name: *

First Name Last Name
Birth Date: *

Month Day Year
School Name *
Current Grade *

5th 6th 7th 8th
Select Camp shirt size: *

Small Medium Large Extra-large
Child #2 Name:

First Name Last Name
Birth Date:

Month Day Year
School Name
Current Grade

5th 6th 7th 8th
Select Camp shirt size:

Small Medium Large Extra-large
Child #3 Name:

First Name Last Name
Birth Date:

Month Day Year
School Name
Current Grade

5th 6th 7th 8th
Select Camp shirt size:

Small Medium Large Extra-large
Would you like to register any additional children? If so please list all names, schools, grades, birthdays, and t-shirt sizes here.
Please provide any medical or dietary restrictions you have. You will be required to provide medical documentation.
How did you hear about Camp?: *

Emergency Contact and Pick-Up Information

Students will only be released to the names provided and I.D. is required. All names on the pick-up list must be over the age of 18.
Emergency Contact Name: *

First Name Last Name
Emergency Contact Phone Number: *

Area Code Phone Number
Relationship to Student: *
Emergency Contact Name: *

First Name Last Name
Emergency Contact Phone Number: *

Area Code Phone Number
Relationship to Student: *
Emergency Contact Name: *

First Name Last Name
Emergency Contact Phone Number: *

Area Code Phone Number
Relationship to Student: *

Your Reason For Attending This Camp
In 300 words or less, please describe your reasons for wishing to attend this camp. *

0/300
Should be Empty:

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