Parent or Guardian Information

Relationship to Child(ren) Registering: *

Mother

Father

Other Other

Parent / Guardian's Name *

Cell Phone *

Address 1 *

City *

State *

Zip *

Email Address *

Country of Nationality *

Emergency Contact Name *

Emergency Contact Cell Phone *

Number of Children Registering *

How did you hear about our camp? *

1st Child's Information

Child's Name *

Gender *

Birth Date * +

Age *

Grade (23-24 school year) *

T-Shirt Size *

Allergies/Medicines *

Yes

Allergies/Medicines

Child's Name

Gender

Birth Date +

Age

Grade (23-24 school year) *

T-Shirt Size

Allergies/Medicines

Yes

Allergies/Medicines