High School Camp Registration Form

High School Camp Registration Form
Name
First NameLast Name
Date of birth
MonthDayYear
Date
Gender
Home Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
First NameLast Name
Relationship to Applicant
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
High School Name
Grade Level
Expected Graduation Year
Camp Name
Camp Start Date
MonthDayYear
Date
Camp End Date
MonthDayYear
Date
Camp Location
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Medical Conditions/Allergies
Current Medications
Dietary Restrictions
Parent/Guardian Consent:
I, the parent/guardian of the applicant, hereby consent to their participation in the High School Camp. I understand that the camp organizers will take all reasonable precautions to ensure the safety and well-being of the participants during the camp.
Signature of Parent/Guardian
Clear
Student Consent:
I, the undersigned applicant, hereby consent to participate in the High School Camp and agree to abide by all camp rules and regulations.
Signature of Applicant
Clear
Date Signed
MonthDayYear
Date
Should be Empty: