Summer Camp Detailed Registration Form

Military Summer Camp 2023

Tactical Kilo LLC
Participant Information
Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Please describe the students level of physical activity (including sports, recreational activities, etc.)
What is your T-shirt size? The shirts are adult unisex
How did you hear about the camp?
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Military Summer Camp 2023