Camp Registration Form

Camper Name:

First NameLast Name

Camper Age Group:

Desire Cabin:

Does any one have allergies?

YesNo

Has the camper been camping before?

YesNo

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Relationship:

Full Name

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Any questions or concern: