Day Camp Registration Form

Day Camp Registration Form

Please ensure all sections of this form are completed accurately.

Camper Information

Name

    Date of Birth

      Age

        Grade Level

          Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade

          School Name

            Camper Preference(s)

              • Outdoor Sports

              • Arts and Crafts

              • Swimming

              • Hiking

              • Drama/Theater

              • Music/Dance

              • STEM Activities

              • Team Building Games

              • Animal Care/Visits

              Parent/Guardian Information

              Name

                Relationship

                  Phone number

                    Email

                      Address

                        Medical Information

                        Indicate if the child has any allergies, chronic conditions, dietary restrictions, or medical concerns:

                          Is the child currently taking any medications?

                          If yes, specify below:

                            Parent/Guardian Authorization

                            I hereby give my consent for my child to attend the day camp sessions. I understand that camp activities may involve inherent risks, and I release the camp staff and organization from any liability arising from these activities. I also give permission for the camp staff to seek medical treatment for my child in case of an emergency.

                            Name:

                            Date:

                            Thank you for completing this registration. Please keep an eye on your email/phone for important updates and reminders.

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