Ages 10-13: 2020 Day Camp 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 camps will run 10am-4pm 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 *
Grade Completed by June 2020 *
Day Camp Selections (Check all that apply) *
Required
Phone Number *
Mailing Address *
Church Affiliation (if any)
Name of person who will be picking up camper after camp *
Phone number of person who will be picking up camper after camp *
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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