Spring Camp Registration

 

Spring Camp Registration Form

    Parent or Guardian First Name:*

    Parent or Guardian Last Name:*

    Home Phone*:

    Cell Phone*:

    Email*

    Address*




    Emergency Contact Name*

    Emergency Contact Phone*

    Relationship to Camper*


    Camper Name: First & Last*

    Camper Birth Date*


    Allergies*

    Medicines*

    Medical Conditions*

    Authorized Pick-up List*


    Signature*

    After submitting this form you will be redirected to our Payment & Supplementary Form page.