2023 Camp "Back to the Future"
WAITLIST FORM
Camper's Full Name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Grade
1st & 2nd Grade
3rd - 5th Grade
6th - 8th Grade
Parent Name
First Name
Last Name
Email
example@example.com
Phone Number
Mobile Phone Number
Will you be attending the full month of camp?
Please Select
Yes, the full month of camp
No, only a week or two
Submit
Should be Empty: