CAMP SONRISE REGISTRATION

LEGAL GUARDIAN #1
Name:*

First NameLast Name
Mobile Phone Number:*

Area CodePhone Number
Alternate Phone Number:

Area CodePhone Number
Email (to send you camp information/updates):*
example@example.com
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there a second LEGAL GUARDIAN you would like to add?*
LEGAL GUARDIAN #2
Name:

First NameLast Name
Mobile Phone Number:

Area CodePhone Number
Alternate Phone Number:

Area CodePhone Number
Email (to send you camp information/updates):
example@example.com
Mailing Address (if different from above):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ADDITIONAL EMERGENCY CONTACT
Name:*

First NameLast Name
Relationship to Camper:*
Daytime Phone Number:*

Area CodePhone Number
DROP-OFF & PICK-UP
Besides the legal guardians above, please list the individuals who may be dropping off or picking up your kids. You may add or subtract from this list at the camp.
Type their full name and relationship to your children:
Please check if you agree:*

I understand that any individuals listed above will be asked to present a valid state-issued I.D. when picking up my children, and I will inform them of this requirement.
Please check if you agree:*

I understand that if the individuals listed above drop my children off too early, or pick them up too late, I will be responsible to pay the additional fees, according to Camp Sonrise policy.

FAMILY PHYSICIAN
Physician's Name:*

First NameLast Name
Physician's Phone:*

Area CodePhone Number
Office Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MEDICAL INSURANCE
Name of guardian who's policy covers the children:*

First NameLast Name
Medical Insurance Provider (Aetna, Blue Cross, etc.):*
Provider Phone Number:*

Area CodePhone Number
Policy/Group Number:*
Please upload a picture of the FRONT of the medical insurance card that covers your children (PDF or JPEG).*

Browse Files

Cancelof
Please upload a picture of the BACK of the medical insurance card that covers your children (PDF or JPEG).*

Browse Files

Cancelof
MEDICAL CONSENT
LEGAL GUARDIAN: With my electronic signature, as legal guardian of the above named children, I agree to the above medical consent (place cursor in the box below, and hold down the button on your mouse to sign. If you're on a mobile phone, use your finger. You may need to turn the phone screen sideways).*
WITNESS: My electronic signature indicates that I have witnessed the legal guardian of the above-named children sign the Medical Consent form above.*

SHOPPING CART
Click the "BACK" button at the bottom of this page to make any changes.
Volunteer/Staff value
YOUTH #1 -- Regular Camper
US Dollars
YOUTH #1 -- CIT
US Dollars
YOUTH #1 -- Volunteer Counselor
US Dollars
YOUTH #2 -- Regular Camper
US Dollars
YOUTH #2 -- CIT
US Dollars
YOUTH #2 -- Volunteer Counselor
US Dollars
YOUTH #3 -- Regular Camper
US Dollars
YOUTH #3 -- CIT
US Dollars
YOUTH #3 -- Volunteer Counselor
US Dollars
GRAND TOTAL
US Dollars
PLEASE NOTE CHANGE: We are no longer accepting early payments, or payments for multiple weeks at a time, or payments through the SLA payment portals. You must be ready to pay for each individual week of camp on the Monday morning of that week, with a check, credit card, or cash.

FOR EXAMPLE: if your child plans to attend on weeks 1, 2, and 3... you will only pay for week 1, on the Monday morning of week 1.
Check if you agree:*

I understand that once I submit this form, I will receive an email with a breakdown of what I must pay on Monday morning of each week of camp. I will check my email "Junk Folder" if this email is not in my inbox.
By signing below I agree that, to the best of my knowledge, all the information on this Camp Sonrise registration form is true (place cursor in the box below, and hold down the button on your mouse to sign. If you're on a mobile phone, use your finger. You may need to turn the phone screen sideways).*
Should be Empty: