Camp Registration
Please fill out this form, and submit payment by check or online to complete your registration. Registrations will be processed after payment and registration form are received.
Child's Name *
Your answer
Parent's Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Primary Phone: *
999-999-9999
Your answer
Primary Phone Type *
Secondary Phone:
999-999-9999
Your answer
Secondary Phone Type
Emergency Contact person and phone *
Your answer
Allergies or Medical Conditions *
Please enter "none" if no allergies or medical conditions.
Your answer
Persons authorized to pick up my child from camp
Your answer
Additional Comments
Your answer
Payment Form *
Select the camp(s) your child will attend *
Required
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