Camper Registration

Camper Registration
Camper Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Camper Email
example@example.com
Camper's Date of birth

Month Day Year
Date
How old will camper be when they arrive at camp?
What grade will camper enter in the fall?

Camper Registration
How did you learn about Camp Strawderman?
Do you have previous camp experience? Where?
ALL CAMPERS MUST ARRIVE ON JUNE 27.
Length of stay
Please list campers you would like to be with in a cabin this summer.
Will camper participate in horse back riding lessons while at camp?
Please share your riding experience

never been on a horse first time with lessons beginner intermediate advanced jumping I take riding lessons at home
What time did you ride at camp last year?
Does your daughter have permission to jump at camp?

Camp Uniform
Each camper will need a camp shirt, shorts, and sweatshirt to wear on Sundays while at camp. Below you may choose the correct size for each piece of the camp uniform. If you order in advance we will have your daughter's camp uniform waiting for her when she arrives.

The cost of the camp uniform is:
- uniform shirt $18
- uniform shorts $12
- unifor sweatshirt $20
uniform shirt
uniform shorts
uniform sweatshirt

Parent/Guardian Information
1. Parent/Guardian

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Cell Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number

Parent/Guardian Information
2. Parent/Guardian

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Cell Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number

Emergency Contact
Name

First Name Last Name
relationship to camper
Cell Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Home Phone Number

Area Code Phone Number
Should be Empty: