Acorn Summer Camp

Acorn Summer Camp
Camper Information
Name*

First NameLast Name
June 2-4, 2026July 21 -23, 2026
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Gender
Food Allergies
Environmental Allergies
Medical Conditions
Prescription Medications
Other Health Information
Primary Contact

The person attending camp with the camper
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Relation to Camper*
Health conditions or Allergies we should be made aware of
Secondary Emergency Contact
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Relationship to Camper*
Should be Empty: