Camp Registration Form

To book for a place in the the camp, you must complete the form below accurately.
Your Name: *

First Name Last Name
Birth Date: *

Month Day Year
Home Phone Number: *

Area Code Phone Number
Mobile Number:

Area Code Phone Number
Email Address: *
Desired Name Tag: *
Primary Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Select Camp shirt size: *

Small Medium Large Extra-large
Please provide any medical or dietary restrictions you have:
How did you hear about Camp?: *

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:

Camp Registration Form