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
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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.
Submit
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