Fuge Camp Registration
July 13-17th | Berry College Mt.Berry, GA| $325 per person
Student Name
First Name
Last Name
Current Grade:
Current Grade
Age:
Age
Please Select
Male
Female
Student Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Shirt Size
Small
Medium
Large
X Large
XX Large
Do You Have Any Food Allergies
Yes
No
Do You Have a Pre-existing Medical Condition?
Yes
No
If So Please Describe in Detail
Parent Name
First Name
Last Name
Parent Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
example@example.com
Medical Insurance Provider name
Submit
Should be Empty: