WVFR Summer Camp Registration

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Please fill out this form to register for our summer camp! If you have more than one child to register please complete it once per child. Lunch will be provided so please be sure to include any allergies. We will also do a "bucket brigade" near then end of the camp so a change of clothes might be a good idea. Please note children need to between 3rd and 12th grade to participate, and must be Rappahannock residents. If you have any questions please email gary.jenkinsjr@wvfr1401.com

Child's Name *

Birthday *

YYYY

Allergies (please include medication and food) *

Grade for the 2023-2024 School year *

Child's home address *

Parent/Guardian Name *

Parent/Guardian Phone Number (please be available during camp hours) *

Parent Guardian Email *

Do you give WVFR permission to take photographs including your child during camp that will be used to promote camp in the future? These photos may be used on our website, Facebook page, or in future versions of our flyer. *

Yes

Does your child have any disabilities we should be aware of, or that require special accommodations?

Does your child have behavior issues we should be aware of? (Please be honest this will not keep anyone from participating.)

What T-shirt size? (please specify youth or adult)

Submit

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