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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First Name *
Last Name *
Street Address *
City, State, Zip *
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
Gender *
Guardian *
Relationship *
Email of Guardian *
Home Phone *
Cell Phone
Emergency Contact *
In case of EMERGENCY the following person could be notified:
Phone number *
Relationship to camper *
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
Phone number
Relationship
Camper allowed to leave with...#2
Contact information
Relationship
Names the camper is NOT allowed to leave with *
Please write in names or enter "no"
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