Clone of FACES CAMP REGISTRATION 2025

FACES Camp REGISTRATION

June 14 - 19, 2026

Please complete ONE registration form for EACH camper.

When you click Register, you'll go to the payment page for your $50 refundable deposit to secure your camper's spot.

For more information go to FACES Camp Website
- Camper Legal Name*
  
  First NameLast Name
- Camper preferred name*
- Gender
- Age*
- Date of Birth*
  
  MonthDayYear
  Date
- Grade in Fall 2026*
- School Attending Fall 2026*
- Has Camper been to FACES Camp before?*
- Is Camper coming with a buddy or sibling? If so, what is their name, age and relationship? Please fill out a separate registration for them. If not, respond No*
- Does Camper have a craniofacial syndrome or facial difference?*
- If so, what craniofacial syndrome or what kind of facial difference does your child have? If not, answer None*
- TracheostomyFeeding TubeShuntAsthma or other respiratory conditionsHearing AidsBAHACPAP or Bi-Pap machineEye glassesSchool IEP or 504Requires daily medicationChiari malformationMy child does not have the above medical conditions
- Does your child have food allergies? Please provide details below. If not, answer None.*
- Does your child have other medical conditions we should be made aware of? If so, please provide details here.
- YESNO
- What are your Camper's hobbies or special interest?*
- How will Camper be traveling to camp? *
- If traveling by plane, what airport do you depart from?
- youth smallyouth mediumyouth largeadult smalladult mediumadult largeadult X largeadult XX largeadult XXX large
- Camper Cell Phone
  Format: (000) 000-0000.
- Parent/Guardian Name*
  
  First NameLast Name
- Relationship*
- Cell Phone*
  Format: (000) 000-0000.
- Home Phone
  Format: (000) 000-0000.
- E-mail*
- Address*
  
  Street Address
  
  Street Address line 2
  
  CityState / Province
  
  Postal Zip CodeCountry
- Parent/Guardian Name
  
  First NameLast Name
- Relationship
- Cell Phone
  Format: (000) 000-0000.
- Home Phone
  Format: (000) 000-0000.
- E-mail
- Address
  
  Street Address
  
  Street Address
  
  CityState
  
  Postal Zip CodeCountry
- I agree, that as a gift to FACES: The National Craniofacial Association and FACES Camp, the undersigned individual, being an adult, authorizes FACES to utilize photographs and/or videos of the above-registered camper in presenting the story of FACES and FACES Camp to prospective donors, charitable organizations, civic organizations, and the general public. In addition, photos and videos will be used to create a special-edition FACES Camp Video for all campers to share with their families and friends. In connection with this consent, the undersigned hereby releases and waives any and all claims which the undersigned might have as a result of the utilization of such photographs by FACES: The National Craniofacial Association, its affiliates, employees, and agents.
- Today's Date*
  
  MonthDayYear
- Parent/Guardian Signature*
  
  First NameLast Name
- How did you hear about FACES Camp?*
- Should be Empty: