RE-CREATION CAMP REGISTRATION FORM
Use this form to register individual campers for our July 31-Aug. 2, 2018 Re-Creation Kids Day Camp. One form per camper.
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Grade (Going into next school year) *
Camper's Gender *
Camper's T-shirt Size *
Please list any medical conditions or allergies we should be aware of:
Your answer
Camper's Mailing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Parent/Guardian First Name: *
Your answer
Parent/Guardian Last Name: *
Your answer
Your Email Address: *
Your answer
Confirm Email Address: *
Your answer
Parent/Guardian Home Phone: *
Your answer
Parent/Guardian Mobile Phone:
Your answer
Parent/Guardian Work Phone:
Your answer
Transportation: (How will camper travel to/from camp?) *
Transportation Notes: Please list the name(s) of the person(s) providing transportation for your camper other than their parent/guardian.
Your answer
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