Camper Registration

Camper Registration

This form must be completed by the campers parent or guardian if the camper is under the age of 18.

One form per camper.

If you have any questions, concerns or issues, please submit them through the message box provided at the end of the registration form.

You will be contacted by the Camp one (1) week before the camp begins.

    Contact First Name
    Contact Number
    Campers First Name
    Gender MaleFemaleOther
    Age Group 9-1213-1515-18Other
    Campers Date of Birth
    Select Camp Date Jun 25-27Aug 27-29
    Parent / Guardian Full Name
    Street
    City
    State
    Zip
    Cell Number
    Work Number
    Email