Camp Registration Form
Camp Registration Form
Please fill out this form completely to register for the camp.
Participant Information
Name
Date of Birth
Address
Phone number
Emergency Contact Information
Name
Relationship
Phone number
Alternate Phone number
Camp Details
Camp Name
Session Dates
From
To
Preferred Activities
Check all that apply.
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Hiking
-
Swimming
-
Arts & Crafts
-
Team Sports
-
Nature Exploration
-
Medical Information
Allergies or Medical Conditions
Medications
Primary Physician
Physician Phone number
Parental/Guardian Consent
I consent to the above-mentioned participant attending and participating in the camp activities. I acknowledge that I have provided accurate information to the best of my knowledge.
Name:
Date:
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