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Camper Info Sheet 2022
This info sheet MUST be filled out when registering your child for camp. You may either fill out this form or print out a copy from our website and turn it in to the front desk.
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* Required
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Birthday of Camper
*
Birthday of Camper
MM
/
DD
/
YYYY
Age of Camper as of June 1, 2022
*
Age of Camper as of June 1, 2022
Your answer
Gender
*
Female
Male
Guardian
*
Your answer
Relationship
*
Your answer
Email of Guardian
*
Your answer
Home Phone
*
Your answer
Cell Phone
Your answer
Emergency Contact
*
In case of EMERGENCY the following person could be notified:
Your answer
Phone number
*
Your answer
Relationship to camper
*
Your answer
Your child will be required to check out with camp staff each day. In addition to above listed parents, ONLY those listed below will be allowed to sign out camper. If for some reason someone other than those listed need to pick your child up at camp we will need either written permission from the custodial parent/guardian or you may contact the Camp Director to make those arrangements:
Camper allowed to leave with...#1
Your answer
Phone number
Your answer
Relationship
Your answer
Camper allowed to leave with...#2
Your answer
Contact information
Your answer
Relationship
Your answer
Names the camper is NOT allowed to leave with
*
Please write in names or enter "no"
Your answer
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