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Registration 2019

Keep in mind, once you start this registration you must complete it before refreshing the page. We cannot wait to see you at camp!

Camper Information
Camper Name *
Camper Name
Include nicknames in parentheticals after the legal first name.
Sex *
Grade Completed *
Primary Address *
Primary Address
Birthday *
Birthday
Parent/Guardian Information
Parent/Guardian 1 *
Parent/Guardian 1
Address
Address
Primary Number *
Primary Number
Secondary Number *
Secondary Number
Parent/Guardian 2 *
Parent/Guardian 2
Address
Address
Primary Number *
Primary Number
Secondary Number
Secondary Number
Emergency Contact Information
Each child MUST have two emergency contacts. One must be local, and one must not be a parent/guardian.
Emergency Contact 1 *
Emergency Contact 1
Primary Phone *
Primary Phone
Alternate Phone *
Alternate Phone
Emergency Contact 2 *
Emergency Contact 2
Primary Phone *
Primary Phone
Alternate Phone *
Alternate Phone