2021 CAMPER REGISTRATION

Child's Full Name *

Guardian First Name *

Guardian Last Name *

Street Address *

City *

State *

Zip *

Country *

Guardian Phone *

Guardian Email Address *

Child's Birth Date * +

Child's Grade 2021-2022 School Year *

Please list any/all allergies

Please list any information you'd like us to know about your child to give them the best camp experience possible! (e.g. behavioral considerations, social/emotional needs)

Which camp are you registering for? *

T-shirt Size *