Free Teen Summer Camp Application Form Template

Teen Summer Camp Application Form

Please fill out this form to apply for [Your Company Name]’s Teen Summer Camp

Camper Information

Name

    Age

      Phone Number

        Date of Birth

          Gender

            • Male

            • Female

            Address

              Parent/Guardian Contact Information

              Parent/Guardian Name

                Phone Number

                  Email

                    Emergency Contact

                    Emergency Contact Name

                      Relationship to Camper

                        Phone Number

                          Email

                            Camp Session Preferences

                            Preferred Camp Session Date

                              Would you like to participate in overnight sessions?

                              Health Information

                              Allergies or Dietary Restrictions

                              Specify Allergies or Restrictions.

                                Medical Conditions or Medications

                                Specify Any Conditions or Medications.

                                  Health Insurance Provider

                                  Insurance Provider Name

                                    Policy Number

                                      Interests and Goals

                                      What are you most excited about for camp?

                                      Briefly describe.

                                        Are there any specific skills or activities you’d like to focus on?

                                        Specify Activities or Goals.

                                          Parent/Guardian Consent

                                          • By signing below, I give permission for my child to attend [Your Company Name]’s Teen Summer Camp and participate in all activities, including any necessary medical treatment.

                                          Parent/Guardian Signature

                                          Name:

                                          Date:

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