8-12 | Summer Camp Registration Form ποΈπ
Please fill out the registration details for your child.
Camp Dates
July 20th - July 22nd
Camper's Full Name
*
First Name
Last Name
Add Siblings (Ages 8-12)
*
Please Select
No siblings
1 sibling
2 siblings
3 siblings
4 or more siblings
Camper's Age
*
Is medication required during camp?
*
Yes
No
If yes, please explain medication requirements
Parent/Guardian Full Name
*
First Name
Last Name
Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Other Emergency Contact Name
*
First Name
Last Name
Other Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relation to Camper
*
*This Is Required* NOTE: This is a separate form for the property owners.
Activitiy Participation Agreement
Β
How did you hear about us?
$85/ per camper, due on next page
Click Register to continue to payment
Register
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