2019 Camper Application
Submit this online application (parent or legal guardian must complete) and be sure to send the $200 camper fee with your child when they come to camp.
Email address *
Do you plan to attend as staff or as a camper? *
What camp(s) do you plan to attend? *
Camper Name *
Your answer
Sex *
Required
Age *
Your answer
Weight (For flight coordinating) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Grade in school this fall *
Your answer
Mailing address *
Your answer
Camper phone numer *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian number *
Your answer
Parent/Guardian email *
Your answer
Does your child have any allergies? *
Your answer
Is your child taking any medications? *
Your answer
I hereby authorize KHBC to obtain medical services for my child, should such services become necessary. I hereby release KHBC and its staff of any liability for accidents that may occur at camp or during travel to and from camp. In signing this, I give permission for my child’s belongings to be searched for articles or substances that are illegal or could be dangerous to him/her or other persons at camp. I also give permission for photos/videos of my child to be used for various promotions, brochures, and on the camp website or Facebook page. **Please type full Parent/Guardian Name and date below.** *
Your answer
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