2023 Camp Registration Form
Please submit one registration per child. If you are submitting forms for multiple children, fill out the first form completely, then, on subsequent forms, you may enter quotation marks for any redundant questions.
Sign in to Google to save your progress. Learn more
Please select one: *
Camper's First Name *
Last Name *
Age *
At the time of camp
Birthday *
Address *
Primary Parent Contact Information *
Please include the name, email, and phone number of a parent or guardian.
Secondary Contact Information
If available, please include the name, email, and phone number of another parent or guardian.
In the event of an emergency, please contact: *
I, the parent and/or guardian, give my permission to Mountain Adventures to take my child to the hospital in an emergency situation. *
Submitting your name will serve as your electronic signature.
Date of Signature *
Please list any special instructions you want carried out in case of an emergency, including hospital preference.
Allergies, Medications & Pertinent Medical History *
Swimming, Rock Climbing & Hiking Skills *
Briefly describe your child's abilities. Beginners welcome.
Session II & III Only: Camping & Canoeing Experience
Briefly describe your child's camping and canoeing experience, if any. Beginners welcome.
Photo Release *
If there is anything else you'd like us to know, here is the place.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy