Camp Registration

Child Information



KindergartenFirst gradeSecond gradeThird gradeFourth gradeFifth grade



Parent/Guardian Information



Parent/Guardian Information



Emergency Contact





Authorized Pick Up






(If your child does not have special needs please write N/A and initial)

YesNo

Authorization form emergency medical attention

In the event I cannot be reached to make arrangements for emergency medical care, I authorize the person in charge to take my child to:



YesNo

YesNo