Camper Confidential Information Form

Camper Confidential Information Form
Camper's Information
Please help us assist your child with their camp experience by letting us know a little bit about the camper.
Camper's Name :
First NameLast Name
Well-Liked Nickname :
What name does your child prefer to be called?
Birth Date :
MonthDayYear
Date
Gender :
MaleFemale
School and Grade :
Camper's Address :
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Home Phone :
Area CodePhone Number
Camper's Photo :
Browse Files
Cancelof
Parent Information
Parent/Guardian Name :
First NameLast Name
Phone Number :
Area CodePhone Number
Additionally Phone(Optional)
Area CodePhone Number
Parent's Email Address :
matthew@example.com
Hobbies , Favorities and Social Interest
Foods :
Colors :
Movies :
Sports :
Books :
Music :
Please list any other information you feel will help us better serve your child :
Camper's Health Information
Does our camper have any special fears ?
Does your camper experience nightmares, sleepwalking in their sleep ?
Does your camper have any food allergies ?
Please explain the allergies:
Does your camper have any dietary restrictions ?
Please explain the dietary:
Parent/Guardian's Signature :
Clear
Should be Empty: