Camp Registration
Summer Club Camp Registration Form
Summer Club Camp Registration Form
Camper Name *
Your answer
Camper Address *
Your answer
Grade Going Into *
Required
Camper Birthdate *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Contact Number *
Your answer
Parent/Guardian Address (if different from camper) *
Your answer
Parent/Guardian E-Mail *
Your answer
Camper lives with *
Camper qualifies for free/reduced meals *
Please indicate which weeks your child would like to attend Summer Club Camp *
Required
Please list any food or medicines your child is allergic to... *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Submit
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