Clone of KNK Equine Summer Camp Registration Form

KNK Equine Summer Camp Registration Form
Camper Information
Camper Name

First NameLast Name
Birth Date

MonthDayYear
t-shirt size
MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Mom's Name

First NameLast Name
Dad's Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Week 1 (June 29th- July 3rd)Week 2 (July 13-17)Week 3 (August 10-14)
Alt. Phone Number
Format: (000) 000-0000.
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Should be Empty: