2020 Family Campfire Night Registration Form
To be filled out by all campers attending Day Camps lead by the paid and volunteer staff of Camp Koolaree. Please note that campfires will take place at either 6-7:30pm OR 8-9:30pm at the agreed upon destinations. All children registered for Family Camp Fire Nights must have an adult register as well.
Email address *
Name *
Age *
Birthdate *
MM
/
DD
/
YYYY
Gender *
Day Camp Selections (Check all that apply) *
Required
Phone Number *
Mailing Address *
Church Affiliation (if any)
Emergency Contact Name *
Emergency Contact Phone Number *
Family Doctor *
Family Doctor Phone Number *
Care Card Number *
Is this camper immunized against tetanus? *
Is this your first time at Koolaree? *
How many years have you attended Camp Koolaree previously? *
Please list any dietary preferences, restrictions and reactions below. *
Please list ALL medical conditions and allergies including medications and what they are used for. *
Please include any other useful information we should know (behaviour, mood etc) *
Why do you want to go to Koolaree's Day Camp? *
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