Walker's Point Day Camp Registration
Please fill out as much information as possible to help us best prepare for this season of camp.
Email address *
Family Name: *
Your answer
Cottage Address: *
Your answer
Island or Main land?
Parent/Guardian 1: *
Your answer
Mobile phone (1) *
Your answer
Parent/Guardian 2:
Your answer
Mobile phone (2)
Your answer
Child 1 name: *
Your answer
Birthday (1): *
MM
/
DD
/
YYYY
Health card (1) *
Your answer
Allergies/medical information (1): *
Required
Child 2 name:
Your answer
Birthday (2):
MM
/
DD
/
YYYY
Health card (2):
Your answer
Allergies/medical information (2):
Child 3 name:
Your answer
Birthday (3):
MM
/
DD
/
YYYY
Health card (3):
Your answer
Allergies/medical information (3):
EMERGENCY CONTACT
Please fill out the following as your child's emergency contact if parent/guardian 1 & 2 are unable to be contacted.
Contact Name: *
Your answer
Relationship to child: *
Phone #: *
Your answer
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