FC Sarum Camper Registration 2024

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Email *

Camper's First Name *

Camper's Last Name *

Camper's Birthday *

YYYY

Age At Time of Camp *

Camper's Gender *

Male

Female

Non-binary

Prefer not to say

Session I Signup

Full-Day July 8-12

Half-Day July 8-12 (Ages 7-9 only)

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Session II Signup

Full-Day July 15-19

Half Day July 15-19 (Ages 7-9 only)

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Parent's First and Last Names *

Parent's Phone Number *

Home Address *

Town *

State *

Zip Code *

I understand that I need to send in a Health Form and Payment separate from this registration form *

I understand

Required

Emergency Contact if camper is not with living with parents during camp (Name and Phone Number, please!)

Please let us know if there is any additional information we need to know

A copy of your responses will be emailed to the address you provided.

Submit

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