Camp Registration Form

Camp Registration Form
To book for a place in the the camp, you must complete the form below accurately.
Your Name
First NameLast Name
Birth Date
MonthDayYear
Home Phone Number
Mobile Number
Email Address
example@example.com
Desired Name Tag
Primary Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Select Camp shirt size
SmallMediumLargeExtra-large
Please provide any medical or dietary restrictions you have
How did you hear about Camp?

School Information
High School Name
High School Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
High School Phone Number
Year in School
Current GPA

Your Reason For Attending This Camp
In 300 words or less, please describe your reasons for wishing to attend this camp.
0/300
Should be Empty: