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Summer Camp Registration

Register campers with health details, pickup permissions and parent consent

registration · 13 fields
Camper's Full Name*
Enter camper's full name...
Camper's Date of Birth*
mm/dd/yyyy
Parent or Guardian Name*
Enter parent or guardian name...
Parent Email*
Enter parent email...
Parent Phone*
Enter parent phone...
Sessions*
Week 1
Week 2
Week 3
Week 4
T-Shirt Size
Select an option
Allergies, Medical Conditions and Medications
Type your answer...
Emergency Contact (Name & Phone)*
Enter emergency contact (name & phone)...
Who else may pick up your child?
Enter who else may pick up your child?...
May we photograph your child for camp updates?*
Yes
No
Consent*
I consent to my child taking part in all camp activities
Parent or Guardian Signature*
Sign here
$37 · paid once

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