Release of Liability form
First name
Your answer
Last name
Your answer
Phone # (Follow this pattern ###-###-####)
Your answer
Emergency Contact Name
Your answer
Emergency Contact phone number
Your answer
Mailing Address
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City
Your answer
State
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Zip Code
Your answer
Email Address
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Name of Group or organization (If applicable)
Your answer
Reason for visit
What are the date(s) of your stay?
Your answer
Names of family members at camp (Including Minor's)
Your answer
Allergies
Please list out any allergies for any names listed above.
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