Annapolis Area Community Boating 2026 Summer Camp Registration Application

Annapolis Area Community Boating 2026 Summer Camp Registration Application

Register a camper for Annapolis Area Community Boating (AACB) Summer Camp. Camp runs in 4 sessions from June 22, 2026 to August 14, 2026, daily from 9:30 AM–3:30 PM at Butler’s Waterfront and Marina, 409 Chester Avenue, Annapolis.
Camp Registration
Camper Name 1

First NameLast Name
Camper Name 2

First NameLast Name
Camper Name 3

First NameLast Name
Emergency Contact Name 1

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name 2

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Camp Session(s)
Parent or Guardian Information
Parent or Guardian Name

First NameMiddle NameLast Name
Relationship to Camper
Campers Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Consent Signature
Gear Checklist and Participation Acknowledgments

Gear Checklist - Check the follow boxes

Rows	I have this item for my child	I will purchase this item for my child	I am in need of support for this item
Sun glasses Hat w/ brim
Sunscreen & Lip balm
Long sleeve shirt and pants (lightweight)
Waterproof Jacket & book bag/ carry bag
Rubber soled closed toe shoes
Water Bottle
Gloves to protect hands
Towel

Safety Acknowledgment and Transportation Permission
Health, Lunch, and Photo Consent
HEALTH INFO- Are there any health problems including physical , psychiatric, or behavioral problems of which we need to be aware?
YES, explain
MEDICATION INFO- Are there any medication, dietary restrictions, allergies or special needs that we need to be aware of to ensure that your childs camp experience is positive ?
YES, explain
IMMUNIZATION INFORMATION
Campers Residence
Please identify the State, US Territory OR Country the camper resides below
If Camper resides OUTSIDE of the United States, a United States territory or District of Columbia
a immunization record or record of immunity MUST be provided to Program Director prior to camp starting
Is the Camper exempt from any vaccinations?
Lunch Consent
Dietary Restrictions and Food Allergies
Photo Release Consent
Swim Authorization
Authorization- My Child(ren) Listed in this application is authorized by my signature to swim 70 feet WHILE wearing a life jacket, to participate in the AACB Maritime Program ?
Parent or Guardian Consent Signature
Should be Empty:

IMMUNIZATION INFORMATION