Coach Wes Lake Park Summer Camp

2023 Lake Park Summer Camp Registration

Ages 5-13 I $250/Weekly
Camper Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
Age at the time of camp
Name of Guardian*
Additional Guardian
Guardian E-mail*
example@example.com
Additional Guardian E-mail
example@example.com
Guardian Mobile Number*
Alternate Guardian Number
Emergency Contact (If different than guardian)
Emergency Contact Number
Known Allergies, type "None" if not applicable*
Food, grass, etc.
Daily Camp Schedule Daily: 8:00 AM – 12:00 PM Snacks Provided Place an “X” on the Line for the Appropriate Week(s) and Camp Type $250/Weekly
Additional Comments
Should be Empty:

2023 Lake Park Summer Camp Registration