Jr Camp at Camp Ironwood

Jr Camp at Camp Ironwood

July 23-27, 2018
Parent/Guardian's Name *

First Name Last Name
I am the parent/guardian of the child below. *

Yes, that is correct. No (if no please do not continue).
Your Email (You will receive a confirmation email) *
example@example.com
Your Phone Number *

- Area Code Phone Number
Emergency Contact *

- Area Code Phone Number
Relationship to Camper *
This should be someone close to your family, in case we cant get a hold of you.

Household Address *

Camper's Name *

First Name Last Name
Birthday of Camper *

/ Month / Day Year
Date
Grade in Fall *

3rd Grade 4th Grade 5th Grade 6th Grade
I understand I need to make my deposit of $50 before my child is officially registered? *

Yes, I understand.
We would like to know about any fundraising opportunities in the near future! *

Yes, sign us up. Not interested.
Should be Empty: