Parent Name

Phone *

Email *

Child's Name *

Date of birth *

Campers Shirt Size *

Emergency Contact Name

Emergency Contact Phone

Allergies

Please list any camper allergies

Where will you pick up your camper?

Sell Products *

One Time Camp Registration Fee

This does not apply towards the remaining $175 per week tuition.

$25

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.