Camper Name
First Name
Last Name
Camper DOB
-
Year
-
Month
Day
Date
Camper Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Time Zone
Eastern Time
Central Time
Mountain Time
Pacific Time
Camper Medical Diagnosis
Session Preference
Session 1: June 24-29
Session 2: July 2-7
Session 3: July 10-15
Session 4: July 18-23
Session 5: July 27-August 1
Session 6: August 4-9
Session 7: August 12-17
Alumni Session: August 19-22
Camper T-Shirt Size
Kids XS
Kids S
Kids M
Kids L
Kids XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Other
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Signature
Submit
Should be Empty: