Camp Wonder 2025
Camper Registration
Picture of Your Camper (optional)
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Camper Name
*
First Name
Last Name
Main Contact Parent Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Camper Birthdate
-
Month
-
Day
Year
Date
Weeks Preferred
June 16 - 20
June 23 - 27
June 30 - July 3 (no camp July 4)
July 7 - 11
July 14 - 18
July 28 - Aug 1
Aug 4 - Aug 8
Age on June 1st
Please Select
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Returning Camper?
*
Yes
No
Camper Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who will Pick Up Your Camper?
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Who will Pick Up Your Camper?
First Name
Last Name
Phone Number
Please enter a valid phone number.
Comments on Pick Up
EMERGENCY CONTACT please include yourself if you are the person we should try first
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
EMERGENCY CONTACT 2
First Name
Last Name
Emergency Contact 1 Phone
Please enter a valid phone number.
What does your camper like to do at camp?
Does Your Camper have any Behavioral Challenges?
If necessary, What calms your Camper?
Does Your Camper Have Elopement Issues
Is your Camper Toilet Trained?
Yes
No
Other
Would your child benefit from a One on One? (this would be an additional fee)
Yes
No
Does Your Child Require Medication During Camp Hours? (we can not dose the medicine)
Any Allergies we should know of?
Submit
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