Sun Rise Camp Registration Form
July 27 - August 1 @ Camp Gorsuch. Children ages 9 to 13 years old. Complete one registration form for each child attending the camp.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Guardian Name
*
First Name
Last Name
Travel Chaperone Name (if coming from rural location)
First Name
Last Name
Child's Address
*
Street Address
Rural Travel?
City, Town, or Village
State / Province
Postal / Zip Code
Guardian Phone Number
*
Travel Chaperone Phone Number
Guardian E-mail
Travel Chaperone E-mail
Give us a little information about the child:
Example: What does the child enjoy doing? What kind of games and arts activities do they enjoy?
All expenses covered by Keys to Life, Funded by: Alaska Children’s Trust, St. Mary’s Bazaar, GCI, and Alcohol Tax Dollars
Submit
Should be Empty: