June 11 & 12 2026 Camp Registration Form

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MEMBER - Per Child$69.00

# of boxes selected above

NON-MEMBER - Per Child$79.00

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Total $0.00
Please select your payment method:
Other
**Please Note** If you select below to call in your payment, your child's registration will not be processed or confirmed until the payment has been received.
Parent or Legal Guardian Information
Parent/Legal Guardian
Relation
Cell Phone

Area CodePhone Number
Emergency Contact Number During Camp Hours

Area CodePhone Number
Emergency Contact Name
Email Confirmation
Parents Email

Confirmation Email
List any allergies (ex: bees,peanuts, dairy) and any medical essentials that you will be sending with your child
Select all medical essentials you will be sending with your child

Other
Is there anything else we should know? Friends also attending etc.
Camper Photo Release
I agree that photos of my child may be taken and used for camp social media purposes
By entering your initials and hitting submit, you agree that you are the parent or legal guardian of the above named camper(s), and are over the age of 18. In case of a medical emergency or general medical care, I give consent for medical teatment for the aboved named camper(s) by authorized personnel. I certify that my child has my permission to attend camp and participate in all activites.
Electronic signature
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