H.T.P.D Cop Camp Registration Form

H.T.P.D Cop Camp Registration Form

*Disclaimer: Please note that space is limited. Campers must reside in Haverford Township. We look forward to providing a great experience for your child.
Parent / Guardian Name*

First NameLast Name
Relationship to child
Please enter relationship to child.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dear Parent/Guardian,

To ensure clear and reliable communication, we are requesting two contact numbers and emails. Having two contacts will help us reach you promptly and effectively. Please provide the names, relationships, and confirm that both emails will be used to send important updates and information.
Enter full name of Secondary Contact & Relationship
Enter full name & relationship to child
Primary Contact Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Contact Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email*
example@example.com
Secondary Contact Email*
example@example.com
Child's Information
Child's Full Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
School Name Attended During 2026*
Any medical needs*
Please provide any of your child's medical needs.
Youth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult Large
Should be Empty:

Child's Information