PHIT Camp 2026 Registration Form

PHIT Camp 2026 Registration

A program designed to get kids active and engaged over summer break, while also providing a healthy lunch three times a week. Each session will consist of various activities, games, crafts, and cooking. Camp will be held Monday, Wednesdays, and Fridays from 11:00am to 1:00pm. The program will run five weeks beginning on June 22nd with the last session being on July 22nd (no camp on July 3rd.) Grade levels 1-6th will be divided up to insure maximum benefits. The cost for registration is $50 per participant. On this online form you are able to register up to 3 children under the same transaction and parent/guardian information. Please be sure to adjust quantity of registrations accordingly. Having issues with registration? Call Maddie at (970) 332-4451 or email programdirector@wracofwray.org.
Participant and Parent Information
Participant's Name

First NameLast Name
Participant's Grade Level
Please put the grade your child will be in this coming school year
T-Shirt Size

Other
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone 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.
Food allergies, health concerns, or medical conditions? If yes, please describe.
PHOTO RELEASE CONSENT FORM (Leave Blank if No Consent)
I, Parent First Name Parent Last Name parent or official guardian of Child First Name Child Last Name , hereby grant permission to the WRAC to take and use: photographs, and/or digital images of my child for use in news releases and/or educational materials as follows: printed publications or materials, electronic publications, or Websites. I agree that my child's name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, and digital reproductions shall be the property of the WRAC.
Signature Date
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

Would you like to register another child?

Participant's Name

First NameLast Name
Participant's Grade Level
T-Shirt Size

Other
Food allergies, health concerns, or medical conditions? If yes, please describe.
PHOTO RELEASE CONSENT FORM (Leave Blank if No Consent)
I, Parent First Name Parent Last Name parent or official guardian of Child First Name Child Last Name , hereby grant permission to the WRAC to take and use: photographs, and/or digital images of my child for use in news releases and/or educational materials as follows: printed publications or materials, electronic publications, or Websites. I agree that my child's name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, and digital reproductions shall be the property of the WRAC.
Signature Date
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

Would you like to register another child?

Participant's Name

First NameLast Name
Participant's Grade Level
T-Shirt Size

Other
Food allergies, health concerns, or medical conditions? If yes, please describe.
PHOTO RELEASE CONSENT FORM (Leave Blank if No Consent)
I, Parent First Name Parent Last Name parent or official guardian of Child First Name Child Last Name , hereby grant permission to the WRAC to take and use: photographs, and/or digital images of my child for use in news releases and/or educational materials as follows: printed publications or materials, electronic publications, or Websites. I agree that my child's name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, and digital reproductions shall be the property of the WRAC.
Signature Date
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

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PHIT Camp 2026 Registration

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