Family Camp Registration Form
Camper Name:
First Name
Last Name
Camper Age Group:
Please Select
6 - 8
9 - 12
13 - 15
Desired Cabin:
Cabin 1
Cabin 2
Cabin 3
Cabin 5
Cabin 6
Cabin 7
Does any one have allergies?
Yes
No
Has the camper been camping before?
Yes
No
Emergency Contact Information
Please enter the name of parent or guardian who should be contacted in case of an emergency.
Relationship:
Sibling
Parent
Child
Friend
Other
Full Name
First Name
Last Name
E-mail Address
example@example.com
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Any questions or concern:
Submit
Should be Empty: