2nd Annual Hunter's Hideout Summer Camp

2nd Annual Hunter's Hideout Summer Camp
Ages: 8-12 years old Camp Dates: June 15-19, 2026 Location: Cornwallis 1828, 17204 State Highway 21, Braggs, AL 36761 Hunter's Hideout: (334) 382-3642 | shophuntershideout.com Cornwallis 1828 / Demp Bell: 251-593-1770 | Demp@historicalcornwallis.org | historicalcornwallis.org
- Camper Full Name:*
  
  First NameLast Name
- Preferred Name/Nickname:
- Date of Birth:*
  
  MonthDayYear
  Date
- Age of Camper:*
  
  89101112
- T-Shirt Size (Youth)*
  
  YSYMYLYXL
- Parent/Guardian Name*
  
  First NameLast Name
- Phone Number*
  Please enter a valid phone number.
- Alternate Phone Number*
  Please enter a valid phone number.
- Email*
  example@example.com
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Name*
  
  First NameLast Name
- Relationship*
- Phone Number*
  Please enter a valid phone number.
- Allergies (food/medicine/stings):*
- Medical conditions/notes:*
- Medications (if any):*
- Dietary needs:*
- Camp Interests (optional)
  
  CampingFishingHiking/Nature WalksWildlife/AnimalsBirdingArcheryAnimal Tracks IDHunting EducationNature JournalingOther
- Name
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.
- Name
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.
- Please select all:*
  
  I give permission for my child to participate in all camp activities.I understand outdoor activities involve inherent risks and agree to follow camp rules.I authorize camp staff to seek emergency medical care if needed.
- Photo Permission (check one):*
  
  Yes, my child may be photographed for camp promotionNo, please do not photograph my child
- I understand that under Alabama law, an agritourism professional is not liable for injury, sickness, or damage to, or the death of, a participant in an agritourism activity at the location if the injury, sickness, damage, or death results from the inherent risks of the agritourism activity. Inherent risks of an agritourism activity include risks of injury, sickness, damage, or death inherent to land, equipment, and animals as well as the potential for you to act in a negligent manner that may contribute to your injury, sickness, damage, or death, or for another participant to act in a manner that may cause your injury, sickness, damage, or death. I am assuming the risk of participating in the agritourism activity. (Act 2012-520, p. 1543, §§1-5.)
- Signature
  
  Clear
- Please verify that you are human*
Should be Empty: