Participant Information
Name of Parent/Guardian
*
First Name
Last Name
Name of Camper
First Name
Last Name
Phone Number (Parent/Guardian)
*
-
Area Code
Phone Number
E-mail (Parent/Guardian)
*
Which week of camp is your child attending?
Summer 2019 Camp Dates:
July 15th-19th
July 22nd-26th
July 29th- August 2nd
August 12th-16th
Please read the waiver in it's entirety and sign below.
I Agree
Signature of Parent/Guardian
Submit
Should be Empty: