2018 DON EDDY CAMP APPLICATION
Complete and send payment to 136 Haven Ridge Drive, Rockwall, TX 75032
Make checks payable to Don Eddy Camps or call 469-847-2400 to pay with d debit or credit card.
Email address *
Camper First Name *
Your answer
Camper Last Name *
Your answer
Gender *
Required
Age *
Your answer
Grade in Fall 2018 *
Your answer
Shirt size *
Are You a Repeat Camper? *
Did You Attend Our Camp Last Summer? *
Parent First Name *
Your answer
Parent Last Name *
Your answer
Cell Phone *
Your answer
Name of Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Your Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Day Camp Attending $200
Overnight Camp Attending $400
Name of Overnight Camp Roommate
Your answer
Permission to Dispense Only These Medicines *
Required
My Child Has These Allergies
Your answer
Waiver of Claims.I, as a parent or guardian give my child permission to participate in the camp.I acknowledge that I will be responsible for any cost incurred due to injury or sickness to my child. I hereby waive any claims against Don Eddy, Inc.and the institution providing the facilities. *
Parent Initials *
Your answer
A copy of your responses will be emailed to the address you provided.
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