SHN Camp Registration Form
Please fill out the Registration below for EACH child attending Camp. You will receive confirmation via the e-mail provided within 10 business days. Both Form and Payment for Camp Registration must be received in order to reserve your spot.
Email *
Name of person filling out this form: *
Phone Number *
Camper's Name *
Current Age: *
Birthday: *
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Campers Address: *
Which camp will you be attending? *Check all that apply. *
Required
Allergies: Please list all known allergies that your child has. *
Please list any condition or prior disease that we should be made aware of: *
Please list any physical, mental, or other conditions that may require special attention: *
Please list any dietary needs that we should know about. *
Please list all medications both prescribed and over the counter, that your child is currently taking: *
Child's Physician: *
Physician's Phone Number *
Emergency Facility Name: *
Emergency Facility Address: *
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