Camper Registration Form
If you have multiple campers, please complete one form per camper.
Email address *
Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Camper's Age during 2019 Summer *
Your answer
Address *
Your answer
Parent / Guardian First and Last Name (Primary) *
Your answer
Primary Mobile Phone Number *
Your answer
Primary Email Address *
Your answer
Parent / Guardian First and Last Name (Secondary)
Your answer
Secondary Mobile Phone Number
Your answer
Secondary Email Address
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Secondary Emergency Contact Name *
Your answer
Secondary Emergency Contact Phone Number *
Your answer
Camper Food Allergies *
If none, write "None".
Your answer
Health Issues / Concerns *
Your answer
Daily Medication
Your answer
Is there any additional information we should know about your camper?
Your answer
T-Shirt Size *
Person(s) Allowed To Pick Up Camper *
We can only release your camper to those on this list. Anyone else must be called in by the parent and arrive with a photo ID.
Your answer
How did you hear about Camp Covenant?
Your answer
Camper Requirements
It is required that all campers are able to do the following without assistance: use the bathroom, feed themselves, and change into/out of a swimsuit. If your camper is unable to do these things without assistance, you must notify Camp Covenant Administration.
Do you understand? *
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