2025 Summer Camp Application Form

Medical Information
Does the camper have allergies including asthma?*
Please explain on the field provided
Is the camper currently under medication? *
Please provide the details, the name of the medication and period of intake

YFC Liability & Consent Form
I have read the above waivers/releases and understand what I have read.
I represent that I am the participant named below (if 18 or over) or the legal parent/guardian of the child named below, who is under 18 years
of age. In consideration for allowing my child to participate in this activity and ongoing YFC activities, I hereby consent to the foregoing on
behalf of my child and agree that this release shall be binding upon me, my child, our heirs, legal representatives and assigns.
Signature*

Clear
Date*

MonthDayYear
Date
Email*
example@example.com
Phone Number*

Area CodePhone Number

Camper Fee*

11 - 19 Years Old$250.00

Quantity

Enter coupon

Total $0.00

Summer Camp 2025 Application