Camp Trinity 2018

Camp Trinity 2019

Join us for a summer of fun, faith, and friends.
Up to 5 children per registration form. If you have more than 5 children in one household please fill out this form and resubmit a second registration using a different primary email.
Camper's Information
First Name *
Last Name *
Nickname
Gender *

Male Female
Birth Date *

Month Day Year
Grade in 2018 2019 *
Age on June 1, 2019 *
T Shirt Size
Date of Last Tetanus shot *

- Month - Day Year
Date
Does your child have any anaphylactic (life threatening) reaction to any allergen *
If yes, please list allergen and reaction.
Any other allergies or food sensitivities? (please list and reaction)
Medication or other medical conditions we should be aware (please specify)
Activity Restrictions or other information

Camp Sessions

Address *

Address (if different)

Emergency Contact Info

An additional individual who we can contact is we cannot get a hold of the parent/guardians listed above.
Name *

First Name Last Name
Relationship *
Phone Number *

- Area Code Phone Number
Allowed to also pick up/drop off *

yes no
Additional Authorized individuals who have permission to pick up or drop off. Please list name, relationship, and phone number.
Medical Insurance Company
Policy #
Doctor's Name
Dr. Office Phone

- Area Code Phone Number

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Camp Trinity 2019