Household Income
All information provided will be kept confidential.
Camper #1 Information
Camper #2 Information (if multiple children)
Please fill out all of the fields and include N/A where necessary. If you have only one camper, proceed to the parent signature.
Camper #3 Information (if multiple children)
Please fill out all fields and include N/A when necessary. If you have only two campers, proceed to the parent signature.
Camper #4 Information (if multiple children)
Please fill out all fields and include N/A where necessary. If you have only three campers, proceed to the parent signature.
Parent Signatures
By typing my/our name(s) in the box below, I/we certify that the information in this application is, to the best of my/our knowledge, accurate and complete.