Albany Safety Camp

2025 Stearns County Sheriff's Office Youth Safety Day Camp

ALBANY NORTH PARK- June 16th, 2025
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Name of School*
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
MEDICAL INFORMATION
Physician Name

First NameLast Name
Phone Number
Medical Concerns
Number
Should be Empty:

2025 Stearns County Sheriff's Office Youth Safety Day Camp