CAMPER INFO FORM - SUMMER 2024

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This info sheet must be filled out BEFORE registering your child(ren) for a camp. You may either fill out this form or print out a copy from our website and turn it in to the front desk.

Email *

Today's Date *

YYYY

Campers First Name *

Campers Last Name *

Street Address *

City, State, Zip *

Birthday of Camper *

YYYY

Age of Camper as of June 1, 2024 *

Gender *

Female

Male

Guardians Full Name *

Relationship *

Primary Valid Email *

This is the email that we will send all camp information to and also will be used to sign you up for ProCare (our camp attendance and communication platform)

Secondary Email

Primary phone number *

In case of emergency this will be the phone number that we will call first

Relationship to camper *

Secondary Phone

Relationship to camper *

Your child will be required to check out with camp staff each day. In addition to above listed parents, the names listed below will be the ONLY allowed person to sign out camper. If for some reason someone other than those listed need to pick your child up at camp we will need either written permission from the custodial parent/guardian or you may contact the Camp Director to make those arrangements:

Camper allowed to leave with...#1

Phone number

Relationship

Camper allowed to leave with...#2

Contact information

Relationship

Names the camper is NOT allowed to leave with *

Please write in names or enter "no"

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