2019 Camp Registration Form
Please submit one registration per child.
Please select one:
Session I: Nature Camp: July 8 - July 12 [Ages 5-10]
Session II: Adventure Camp: July 15 - July 19 [Ages 11-16]
Primary Parent Contact Information
Please include the name, email, and phone number of a parent or guardian.
Secondary Contact Information
If available, please include the name, email, and phone number of another parent or guardian.
In the event of an emergency, please contact:
Primary Parent Contact
Allergies, Medications, Pertinent Medical History, or other concerns
I hereby grant Mountain Adventures permission to use my child’s photograph taken during Mountain Adventures’ events, camps, field trips, and guided trips in any Mountain Adventures’ public display, website, newspaper or brochure.
Please do not use my child’s photograph taken by Mountain Adventures for any public display, website, newspaper, or brochure.
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