Camper Name

First Name

Last Name

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What Grade is your child going to?

What is Your T shirt Size

Does your child have any medical conditions that we should know about. Please list all medications that your child takes.

Please list two emergency contacts with their phone numbers.