Camp Aurora 2019 Registration
Last Name *
Camper's Last Name
Your answer
First Name *
Camper's First Name
Your answer
T-shirt Size *
Camper's T-Shirt Size.
Gender *
Date of Birth MM/DD/YY *
Camper's Date of Birth. (ex: 03/14/98)
Your answer
E-mail Address
Camper's E-mail Address (if applicable)
Your answer
Address *
Your answer
Grade Entering *
Grade camper will be in for the 2018-2019 school year.
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Phone *
Your answer
Parent's E-mail Address *
This should be the e-mail address of the parent(s) who should receive information via e-mail from the camp. More than one address may be listed.
Your answer
Father's Name
Your answer
Father's Cell
Your answer
Mother's Name
Your answer
Mother's Cell
Your answer
Emergency Contact 1 Name (If different from parent)
Your answer
Relationship to Camper
Your answer
Best Phone Number to Reach Emergency Contact 1
Your answer
Allergies or Dietary Restrictions *
Please list any food allergies or dietary restrictions your child may have.
Your answer
Friend 1
Please list a friend that the camper might like to be in a group with at camp.
Your answer
Friend 2
Please list a second friend that the camper might like to be in a group with at camp.
Your answer
Photo Release
I grant to Camp Aurora, its representatives, volunteers and employees the right to take photographs of my child while at camp and authorize Camp Aurora, its assigns and transferees to copyright, use and publish said photographs of my child with or without his/her name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
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