Jr. Co-ed 2023
July 23rd-28th at Camp Wegesegum

Sunday Drop-Off at 4pm
Friday Pick-up at 12pm

Cost : $295

Contact us at Campwegie@gmail.com



Payment can be made via E-transfer to Campwegie@gmail.com or by cash or cheque at Camp Wegesegum.
Sign in to Google to save your progress. Learn more
Email *
Name of Camper *
Gender
Clear selection
Address
Birthday *
MM
/
DD
/
YYYY
Age at time of Camp *
Email *
Name of Parent/Guardian *
Contact Phone Number *
Medicare Number *
Permission is given to provide my child with the following non-prescription medication as necessary during camp:
Does you child have any allergies or take any medication that would be administered at Camp? Please outline any special instructions.
Dietary restrictions
Clear selection
We will try our best to pair you up with your buddy, Preferred cabin mate?
Photo Release: I hereby give consent to Camp Wegesegum Inc. to photograph and/or record my child through audio or video and to use this material in whole or in part through television, film, web page,multi-media presentation, radio, audiotape, videotape, display or in printed form for the promotion of Camp Wegesegum. I transfer any and all rights, including copyright, which mychild or I may have in this material to Camp Wegesegum. *
I understand that I will have to pay $$ upon arrival and sign to confirm this information *
Required
This year we are asking that you pay a non refundable $50 deposit to hold your spot. (This will be deducted from the total registration fee) Payment can be sent to campwegie@gmail.com 
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy