Family Camp Registration
Before You Begin!
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Before you begin make sure you have all of the following information ready for ALL participants you are registering:


Address and contact information

Date of birth and school grade level as of fall of this year (if applicable)

Names and phone numbers of emergency contacts

Doctor and dentist names and contact info

Date of last tetanus shot and other immunizations

Health insurance information (insurance provider, policy holder name, policy number)

Any diseases or health problems, allergies, dietary restrictions, or special medications we should know about in case of emergency
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Please only click Next once you are ready with all of the necessary information.


Event Info:
Event Timing: July 17th-21st, 2019
Event Address: Camp Widewater, 4050 Old US 24, Liberty Center, Ohio 43532
Contact us:
Camp Registrar, Kathy Gaiser
kathy.gaiser@gmail.com
937-866-6917

**This electronic registration form supports entry of no more than 10 family members per registration. If you have more than 10 people in the group you are registering, please contact the camp registrar (contact information shown above) to register manually.
Note: The information you enter in this registration form will be used only by camp staff for registration and/or medical emergency reasons. We will not share your information with any other parties.
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