Fort Langley Day Camp Interest Form
Please fill out this interest form with accurate and true information. Additional Campers can be added at the end of this form. After completing, you will be contacted for further registration steps.
Camper's Full Legal Name
*
First Name
Last Name
Camper's Preferred Name
First Name
Nickname(s)/Pronouns
Camper's Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
Confirmation Email
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Add Additional Campers
Skip this section if no additional campers are needed.
Add a Second Camper Legal Name (Click next to skip)
First Name
Last Name
Second Camper Preferred Name
First Name
Last Name
Second Camper DOB
-
Month
-
Day
Year
Date
Add a Third Camper Legal Name
First Name
Last Name
Third Camper Preferred Name
First Name
Last Name
Third Camper DOB
-
Month
-
Day
Year
Date
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Camp Date Information
One week only, if selected week is FULL other spots will be offered to you.
Select one week
*
July 6th 2026-July 10th 2026
July 13th 2026-July 17th 2026
July 20th 2026-July 24th 2026
July 27th 2026-July 31st 2026
By selecting "I understand," you give consent to be contact by the email or phone number provided regarding further registration steps. You also understand that this form is not a confirmation of registration.
*
I understand
Please verify that you are human
*
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