Camp Mangan 2024 Registration
Camper's Name
*
First Name
Last Name
Camper's Age
*
T-Shirt Size
*
Ex. Youth S
Gender
*
Male
Female
Returning Camper
*
Yes
No
Days Attending
*
Full Week 1
June 23
June 24
June 25
June 26
June27
Full Week 2
June 30
July 1
July 2
July 3
Add another Camper?
*
Yes
No
Back
Next
Camper's Name
*
First Name
Last Name
Camper's Age
*
T-Shirt Size
*
Ex. Youth S
Gender
*
Male
Female
Returning Camper
*
Yes
No
Days Attending
*
Full Week 1
June 23
June 24
June 25
June 26
June27
Full Week 2
June 30
July 2
July 2
July 3
Add another Camper?
*
Yes
No
Back
Next
Camper's Name
*
First Name
Last Name
Camper's Age
*
T-Shirt Size
*
Ex. Youth S
Gender
*
Male
Female
Returning Camper
*
Yes
No
Days Attending
*
Full Week 1
June 23
June 24
June 25
June 26
June 27
Full Week 2
June 30
July 1
July 2
July 3
Add another Camper?
*
Yes
No
Back
Next
Camper's Name
*
First Name
Last Name
Camper's Age
*
T-Shirt Size
*
Ex. Youth S
Gender
*
Male
Female
Returning Camper
*
Yes
No
Days Attending
*
Full Week 1
June 23
June 24
June 25
June 26
June27
Full Week 2
June 30
July 1
July 2
July 3
Add another Camper?
*
Yes
No
Back
Next
Parent/Guardian Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Does the Camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
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Next
Payment
Returning Campers will be given priority until April 30th. Then Spaces will be filled and confirmed on a first come first served basis starting May 1st.
A $100 deposit for each child is due once their registration is confirmed and full payment for camp is due June 1st.
Venmo
@Mary_Mangan_ (Please include the child's name in the description)
Check
Make checks payable to Mary Mangan. Mail payment to: Camp Mangan PO Box 880, 6786 Lakeshore Road Derby, New York 14047
Waivers
Please find the release form on our website and either mail to us at 6786 Lakeshore Rd PO 880 Derby NY 14047 or bring on the first day of camp.
Questions?
If you have any questions please contact Mary Mangan Cell: (716) 472-8104 email: campmanganisfun@gmail.com or check out our website at www.campmangan.com
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