Camper Name *

First Name

Last Name

Gender

Male

Female

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

A parent, guardian, or emergency contact must be available to be contact regarding the camper at any time during the camp event. *

Agree

Please acknowledge that you have read the Camp Guidelines, Refund/Cancellation Policy, and Medical Form (links below) prior to registration. *

Agree

Photos and/or video of your child taken during the course of regular camp events may be used for camp promotion in social media and/or marketing efforts. Identifying factors such as the child's name and age will not be used, except as the child's age relates to the event(s) they attend. *

Agree

Opt-Out

Signature *

By typing your name below, provide your electronic signature to complete this registration. Separate registrations forms are required for each camper.

First Name

Last Name

Date *

MM

DD

YYYY