2021 Camp Koolaree Camper Registration Form
To be completed for all campers attending Camp Koolaree. A welcome email with information on your specific camp (what to bring, drop off location and arrival and departure times) will be sent once we receive your registration.
Email *
Camper Name *
Camper Age *
Camper Birthdate *
MM
/
DD
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YYYY
Camper Gender *
Camper Grade Completed by June 2021 *
Camp Selection *
Phone Number *
Mailing Address *
Church Affiliation (if any)
Name of person who will be picking up camper after camp *
Phone number of person who will be picking up camper after camp *
Emergency Contact Name *
Emergency Contact Phone Number *
Family Doctor *
Family Doctor Phone Number *
Care Card Number *
Is this camper immunized against tetanus? *
Is this camper immunized against Covid-19? *
Camper T-Shirt Size *
Is this your first time at Koolaree? *
How many years have you attended Camp Koolaree previously? *
As a first year camper, you may request to be put in the same cabin as a friend (at the discretion of the director). Please list below if applicable.
Please list any dietary preferences, restrictions and reactions below. *
Please list ALL medical conditions and allergies including medications and what they are used for. *
Please include any other useful information we should know (bedwetting, homesickness, behaviour etc) *
Why do you want to go to Koolaree? *
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