Camp Amigo 2025 Sign Up

Has the child attended other day camps?*

YesNo

If yes, where and when?

Does your child get car sick?*

YesNo

Will your child be riding the bus with the group?*

YesNo, I will be driving my camper to Candlelight Ranch

Is there anything we should know about your child to make their experience at camp a smooth one?

Is your child able to function at their grade level?*

YesNo

If no, please include additional details:

Does your child have any allergies?*

YesNo

If yes, list and describe the severity of the reaction, requested accommodation, and what is done to manage the reaction:

Does your child hold any special diet or restrictions?*

YesNo

If yes, please list their preferences (vegan, vegetarian, dairy free, etc.):

Does your child have any condition we should be aware of?*

YesNo

If yes, please provide the condition and information to assist in providing the best camp experience for your child:

Does your child require any special equipment or supplies?*

YesNo

Will your child need to attend with an attendee?*

YesNo

If yes, please list any information we may need to know:

If your child must take medication while at camp, please list all medications below:

I hereby knowingly assume the risk of injury, harm and loss assoicated with Camp Amigo, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties.

Signature:

Date:

Date

I grant Austin Smiles representatives and employees the right to take photographs of my child during Camp Amigo. I authorize the team members to use and publish the photographs in print and/or electronically.

I agree that Austin Smiles may use such photographs of my child with or without their name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content (Facebook).

I have read and understood the above:

Guardian's Full Name:

First NameLast Name

Signature:

Date:

Date

After submitting this form you will be redirected to a page to complete the waiver and release form for Candlelight Ranch - please ensure you fill out that form as well for your child's participation

I understand

Personal Information

Emergency Contact Details

Camper Care Information

Medical, Physical, or Emotional Conditions

Photo Release Form